NPIMap

Organization Active NPI

County of El Dorado

  • Community/Behavioral Health Agency
  • South Lake Tahoe, CA
National Provider Identifier
1063615490
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COUNTY OF EL DORADO
Practice address
1900 Lake Tahoe Blvd
South Lake Tahoe, CA 96150-6305
Phone
(530) 621-6207
NPI assigned
Jun 5, 2007
Organization subpart
Yes
Parent organization
COUNTY OF EL DORADOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Salina Marie DrennanNPI 1386833283
Title
Suds Program Administrator/Manager
Phone
(530) 621-6207

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1900 Lake Tahoe Blvd
South Lake Tahoe, CA 96150-6305

Mailing address

768 Pleasant Valley Rd Ste 201
Diamond Springs, CA 95619-9260
Phone (530) 621-6146

Other names 1

  • Alcohol and Drug Program-South Lake Tahoe Other name

National Provider Directory

National Provider Directory
Tax ID family
El Dorado County Health Services Department22 organizations share this tax ID, including this one
Part of
El Dorado County Health Services Department

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

1900 Lake Tahoe Blvd
South Lake Tahoe, CA 96150
Phone (530) 573-3251

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1063615490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 PLEASANT VALLEY RD STE 201",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "956199260",
            "telephone_number": "530-621-6146",
            "fax_number": "530-295-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 LAKE TAHOE BLVD",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506305",
            "telephone_number": "530-621-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF EL DORADO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF EL DORADO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "DRENNAN",
        "authorized_official_first_name": "SALINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SUDS PROGRAM ADMINISTRATOR/MANAGER",
        "authorized_official_telephone_number": "530-621-6207"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alcohol and Drug Program-South Lake Tahoe",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Alcohol and Drug Program-South Lake Tahoe",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Lake Tahoe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.