NPIMap

Organization Active NPI

Solano County

  • Rehabilitation Clinic/Center
  • Vallejo, CA
National Provider Identifier
1225112790
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
SOLANO COUNTY
Practice address
146 Rainier Ave
Vallejo, CA 94589-1846
Phone
(707) 643-2954
Fax
(707) 642-1842
NPI assigned
Oct 24, 2006
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
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

146 Rainier Ave
Vallejo, CA 94589-1846

Mailing address

275 Beck Ave
Fairfield, CA 94533-6804
Phone (707) 784-8657

Other identifiers 1

IdentifierTypeStateIssuer
CCS00067FMedicaidCA

Other names 1

  • Loma Vista MTU Doing business as

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": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1225112790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 BECK AVE",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336804",
            "telephone_number": "707-784-8657",
            "fax_number": "707-421-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 RAINIER AVE",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945891846",
            "telephone_number": "707-643-2954",
            "fax_number": "707-642-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLANO COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SOLANO",
        "enumeration_date": "2006-10-24",
        "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": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CCS00067F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loma Vista MTU",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vallejo, 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.