NPIMap

Organization Active NPI

Sacramento County Youth Detention Facility Clinic

  • Prison Health Clinic/Center
  • Sacramento, CA
National Provider Identifier
1174378244
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
SACRAMENTO COUNTY YOUTH DETENTION FACILITY CLINIC
Practice address
9601 Kiefer Blvd
Sacramento, CA 95827-3818
Phone
(916) 875-5647
NPI assigned
Apr 22, 2024
Last updated
Apr 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Noel Vargas
Title
Deputy Director
Phone
(916) 876-7179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X Primary

Addresses

Primary practice location

9601 Kiefer Blvd
Sacramento, CA 95827-3818

Mailing address

9601 Kiefer Blvd
Sacramento, CA 95827-3818
Phone (916) 875-5647

National Provider Directory

National Provider Directory
Tax ID family
Elk Grove Fire Dept88 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1174378244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 KIEFER BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958273818",
            "telephone_number": "916-875-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 KIEFER BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958273818",
            "telephone_number": "916-875-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRAMENTO COUNTY YOUTH DETENTION FACILITY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "NOEL",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "916-876-7179"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

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