NPIMap

Organization Active NPI

County of Sacramento

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Sacramento, CA
National Provider Identifier
1205907938
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
COUNTY OF SACRAMENTO
Practice address
4211 Turnbridge Dr
Sacramento, CA 95823-1929
Phone
(916) 392-1480
Fax
(916) 393-6079
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bernice Walton
Title
Division Chief
Phone
(916) 875-6086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

4211 Turnbridge Dr
Sacramento, CA 95823-1929

Mailing address

7001A East Pkwy
Suite 600
Sacramento, CA 95823-2501
Phone (916) 875-5881

Other identifiers 1

IdentifierTypeStateIssuer
CCS00025FMedicaidCA

Other names 1

  • CCS Bowling Green MTU Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Capital Health Center88 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

Locations

4211 Turnbridge Dr
Sacramento, CA 95823
Phone (916) 392-1480

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205907938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001A EAST PKWY",
            "address_2": "SUITE 600",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232501",
            "telephone_number": "916-875-5881",
            "fax_number": "916-875-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 TURNBRIDGE DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958231929",
            "telephone_number": "916-392-1480",
            "fax_number": "916-393-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SACRAMENTO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "BERNICE",
        "authorized_official_title_or_position": "DIVISION CHIEF",
        "authorized_official_telephone_number": "916-875-6086"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CCS00025F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCS Bowling Green MTU",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.