NPIMap

Organization Active NPI

Madera County Department of Public Health

  • State or Local Public Health Clinic/Center
  • Madera, CA
National Provider Identifier
1114637873
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
MADERA COUNTY DEPARTMENT OF PUBLIC HEALTH
Practice address
1604 Sunrise Ave
Madera, CA 93638-4926
Phone
(559) 675-7893
NPI assigned
Dec 2, 2022
Organization subpart
Yes
Parent organization
COUNTY OF MADERAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Authorized official

Name
Sean Kirkpatrick
Title
Deputy PH Director - Operations
Phone
(559) 675-7893

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171400000X
Health EducatorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174H00000X
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

1604 Sunrise Ave
Madera, CA 93638-4926

Mailing address

1604 Sunrise Ave
Madera, CA 93638-4926
Phone (559) 675-7893

Other names 1

  • MCDPH DPP Other name

National Provider Directory

National Provider Directory
Tax ID family
Madera County Public Health15 organizations share this tax ID, including this one
Part of
Madera County Public Health

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1114637873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 SUNRISE AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936384926",
            "telephone_number": "559-675-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 SUNRISE AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936384926",
            "telephone_number": "559-675-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADERA COUNTY DEPARTMENT OF PUBLIC HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF MADERA",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "KIRKPATRICK",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "DEPUTY PH DIRECTOR - OPERATIONS",
        "authorized_official_telephone_number": "559-675-7893"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCDPH DPP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.