VA Nchcs

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

A81456 Issued in CA

Legal business name

VA NCHCS

Practice address

10535 Hospital Way
Mather, CA 95655-4200

Phone

(916) 366-5406

Fax

(916) 843-7323

NPI assigned

Mar 17, 2006

Organization subpart

No

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

Authorized official

Name

David Siegal

Title

Chief, Medicine Service

Phone

(916) 843-7096

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104895440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 SABALO WAY",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956706206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10535 HOSPITAL WAY",
            "city": "MATHER",
            "state": "CA",
            "postal_code": "956554200",
            "telephone_number": "916-366-5406",
            "fax_number": "916-843-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA NCHCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIEGAL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF, MEDICINE SERVICE",
        "authorized_official_telephone_number": "916-843-7096"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "A81456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandrea Makenzie Trauth, PA
• Eddy Tsao
• Heather A Tucker-Bjorum
• Ionut Tudor, RN
• VA Mather
• VA Northern California
• Lucia Margarita Vanegas
• Brian Vasquez
• Laurie Morgan Vazquez, RN, FNP
• Matthew Vega

• Urgent Care Clinic/Center in Mather, CA
• Providers in Mather, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.