Organization Active NPI

Department of Health Services

  • Public Health or Welfare Agency
  • Richmond, CA
National Provider Identifier
1255386603
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
DEPARTMENT OF HEALTH SERVICES
Practice address
850 Marina Bay Pkwy
VRDL
Richmond, CA 94804-6403
Phone
(510) 307-8575
Fax
(510) 307-8601
NPI assigned
May 24, 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
Haynes W Sheppard, PHD
Title
Research Scientist Section Chief
Phone
(510) 307-8538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

850 Marina Bay Pkwy
VRDL
Richmond, CA 94804-6403

Mailing address

850 Marina Bay Pkwy
VRDL
Richmond, CA 94804-6403
Phone (510) 307-8575

Other identifiers 1

IdentifierTypeStateIssuer
LAB43850FMedicaidCA

National Provider Directory

National Provider Directory

Locations

850 Marina Bay Pkwy
Bldg E2
Richmond, CA 94804
Phone (510) 307-8575

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255386603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 MARINA BAY PKWY",
            "address_2": "VRDL",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948046403",
            "telephone_number": "510-307-8575",
            "fax_number": "510-307-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MARINA BAY PKWY",
            "address_2": "VRDL",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948046403",
            "telephone_number": "510-307-8575",
            "fax_number": "510-307-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "HAYNES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "RESEARCH SCIENTIST SECTION CHIEF",
        "authorized_official_telephone_number": "510-307-8538",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB43850F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, 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.