Corrections and Rehabilitation-Headquarters
Organization
Active NPI
Pharmacy · Represa, CA
NPI 1154953529 · NPPES record last updated Dec 4, 2024
Key facts
- NPI
- 1154953529
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- CORRECTIONS AND REHABILITATION-HEADQUARTERS
- Practice address
- 100 Prison Road
Represa, CA 95671-3000
- Phone
- (916) 985-8610
- Fax
- (916) 294-3114
- NPI assigned
- Feb 4, 2020
- Organization subpart
- Yes
- Parent organization (as reported)
- CORRECTIONS AND REHABILITATION
Authorized official
- Name
- Pierre Caesare Saucier James
- Title
- Staff Services Manager I
- Phone
- (510) 780-6997
Corporate family (same tax ID) 41
Organizations that report the same tax identification number in the National Provider Directory.
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Corrections and Rehabilitation-Headquarters Pharmacy · Susanville, CA · NPI 1013543578
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Corrections and Rehabilitation-Headquarters Pharmacy · San Luis Obispo, CA · NPI 1023644580
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Corrections and Rehabilitation-Headquarters Pharmacy · Crescent City, CA · NPI 1053946889
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Corrections and Rehabilitation-Headquarters Pharmacy · California City, CA · NPI 1134754955
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Corrections and Rehabilitation-Headquarters Pharmacy · Sacramento, CA · NPI 1194549527
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Corrections and Rehabilitation-Headquarters Pharmacy · Calipartia, CA · NPI 1265067086
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Corrections and Rehabilitation-Headquarters Pharmacy · San Luis Obispo, CA · NPI 1356976252
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Corrections and Rehabilitation-Headquarters Pharmacy · Chowchilla, CA · NPI 1366077166
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Corrections and Rehabilitation-Headquarters Pharmacy · Sacramento, CA · NPI 1366990293
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Corrections and Rehabilitation-Headquarters Prison Health Clinic/Center · Elk Grove, CA · NPI 1396169405
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Corrections and Rehabilitation-Headquarters Pharmacy · Susanville, CA · NPI 1518592336
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Corrections and Rehabilitation-Headquarters Pharmacy · Chowchilla, CA · NPI 1528694379
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View all 41
Practitioners 105
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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Asia Alexander Clinical Social Worker · Represa, CA · NPI 1255850905
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Shea Alvarez, PH.D.
Student in an Organized Health Care Education/Training Program · Represa, CA · NPI 1013439132
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Maria Barcellona, PSY.D.
Clinical Psychologist · Represa, CA · NPI 1568157998
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Rebecca Barnes Social Worker · Represa, CA · NPI 1457724684
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Mehak Bath Student in an Organized Health Care Education/Training Program · Represa, CA · NPI 1215781331
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Dianne Bentley, TEACHING, PSYCH ASST
Student in an Organized Health Care Education/Training Program · Represa, CA · NPI 1245585819
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Lindsey Bryden, LCSW
Social Worker · Represa, CA · NPI 1881058584
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Shenade Cervantes Student in an Organized Health Care Education/Training Program · Redding, CA · NPI 1194265413
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Lynne Demartini, PH.D.
Clinical Psychologist · Represa, CA · NPI 1821252826
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Shannon Taylor Egan-Mooney, PSYD
Student in an Organized Health Care Education/Training Program · Represa, CA · NPI 1104505718
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Anna Fautz Student in an Organized Health Care Education/Training Program · Represa, CA · NPI 1992126494
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Julia Mary Gamboa, PHD
Clinical Psychologist · Represa, CA · NPI 1790099828
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Dennis Lloyd Gock, MASTERS
Student in an Organized Health Care Education/Training Program · Represa, CA · NPI 1811725682
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Juzelie Gomez Student in an Organized Health Care Education/Training Program · Represa, CA · NPI 1124575717
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Shannon Hogan, MA
Student in an Organized Health Care Education/Training Program · Crescent City, CA · NPI 1821785221
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Heather Jebananthan Clinical Psychologist · Represa, CA · NPI 1912451766
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Monica Lynn Kroenlein, PSYD
Clinical Psychologist · Represa, CA · NPI 1558540963
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Zia Ruth Landis, ASW
Student in an Organized Health Care Education/Training Program · Sacramento, CA · NPI 1538632252
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Kirsten Marie Mason, PSYD
Clinical Psychologist · Represa, CA · NPI 1649575341
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Matthew Erik McGiffen, MSW
Clinical Social Worker · Represa, CA · NPI 1538579628
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Michael Milin, PH.D.
Clinical Psychologist · Represa, CA · NPI 1508022203
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Evariste Nimubona, LCSW
Clinical Social Worker · Represa, CA · NPI 1427339415
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Natalie Yasmin Ortega Cardenas Student in an Organized Health Care Education/Training Program · Represa, CA · NPI 1114672466
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Luis Gabriel Pizano-Martinez, LCSW
Clinical Social Worker · Represa, CA · NPI 1588053797
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Michele Brooke Stranger Clinical Psychologist · Represa, CA · NPI 1699025056
View all 105
National Provider Directory
- Tax ID family
- Corrections and Rehabilitation-Headquarters (42 organizations share this tax ID)
- Part of
- Corrections and Rehabilitation-Headquarters
Locations
100 Prison Rd
Represa, CA 95671
Phone (916) 294-3061
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Pharmacy |
333600000X |
|
|
Yes |
Addresses
Primary practice location
100 Prison Road
Represa, CA 95671-3000
Mailing address
100 Prison Road
Represa, CA 95671-3000
Phone (916) 985-8610
Other names
- California State Prison-Sacramento Doing business as