NPIMap

Organization Active NPI

Buddys Ranch LLC

  • Substance Abuse Rehabilitation Facility
  • Yuba City, CA
National Provider Identifier
1114626512
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
BUDDYS RANCH LLC
Practice address
737 Lask Dr
Yuba City, CA 95991-7323
Phone
(530) 434-4595
NPI assigned
Feb 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Thomas Harris
Title
Cfo
Phone
(530) 632-8219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

737 Lask Dr
Yuba City, CA 95991-7323

Mailing address

PO Box 802
Yuba City, CA 95992-0802
Phone (530) 632-8219

Other practice location 1

1463 La Grande Ave
Yuba City, CA 95991-6718
Phone (530) 632-8219

National Provider Directory

National Provider Directory
Tax ID family
Buddys Ranch LLC15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

1463 Live Oak Blvd
Yuba City, CA 95991

NPI Registry JSON

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1114626512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959920802",
            "telephone_number": "530-632-8219",
            "fax_number": "916-500-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 LASK DR",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959917323",
            "telephone_number": "530-434-4595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1463 La Grande Ave",
            "address_purpose": "LOCATION",
            "city": "Yuba City",
            "state": "CA",
            "postal_code": "959916718",
            "country_code": "US",
            "telephone_number": "530-632-8219",
            "fax_number": "916-500-0609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BUDDYS RANCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-24",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "530-632-8219"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.