NPIMap

Organization Active NPI

County of Solano

  • Federally Qualified Health Center (FQHC)
  • Fairfield, CA
National Provider Identifier
1174745459
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COUNTY OF SOLANO
Practice address
2101 Courage Dr
Fairfield, CA 94533-6717
Phone
(707) 784-2010
Fax
(707) 435-2032
NPI assigned
May 3, 2007
Organization subpart
Yes
Parent organization
COUNTY OF SOLANOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Girlie Jarumay
Title
H&SS Chief Dep Administration
Phone
(707) 784-8387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2101 Courage Dr
Fairfield, CA 94533-6717

Mailing address

275 Beck Ave # Ms 5215
Fairfield, CA 94533-6804
Phone (707) 784-8575

Other identifiers 2

IdentifierTypeStateIssuer
FHC11441FMedicaidCA
005536OtherCACMSP BC FF

National Provider Directory

National Provider Directory
Tax ID family
County of Solano35 organizations share this tax ID, including this one
Part of
County of Solano

Other organizations with this tax ID 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1174745459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 BECK AVE # MS 5215",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336804",
            "telephone_number": "707-784-8575",
            "fax_number": "707-421-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 COURAGE DR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336717",
            "telephone_number": "707-784-2010",
            "fax_number": "707-435-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SOLANO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SOLANO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "JARUMAY",
        "authorized_official_first_name": "GIRLIE",
        "authorized_official_title_or_position": "H&SS CHIEF DEP ADMINISTRATION",
        "authorized_official_telephone_number": "707-784-8387"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC11441F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMSP BC FF",
            "identifier": "005536",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.