Organization Active NPI

County of Placer

Doing business as Placer County Community Clinic

  • Public Health or Welfare Agency
  • Kings Beach, CA
National Provider Identifier
1255453692
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF PLACER
Doing business as
Placer County Community Clinic
Practice address
8665 Salmon Ave
Kings Beach, CA 96143-9800
Phone
(530) 546-1970
Fax
(530) 546-4606
NPI assigned
Apr 5, 2007
Last updated
Jul 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Mr. Robert Long
Title
Clinic Manager
Phone
(530) 889-2910

Specialties & licenses 1

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

Addresses

Primary practice location

8665 Salmon Ave
Kings Beach, CA 96143-9800

Mailing address

11583 C Ave
Auburn, CA 95603-2703
Phone (530) 889-7215

Other identifiers 1

IdentifierTypeStateIssuer
RHM53867FMedicaidCA

Other names 1

  • Placer County Community Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

101 Cirby Hills Dr
#2
Roseville, CA 95678
Phone (916) 787-8800

101 Cirby Hills Dr
Ste 2
Roseville, CA 95678
Phone (916) 787-8800

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1255453692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11583 C AVE",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032703",
            "telephone_number": "530-889-7215",
            "fax_number": "530-889-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8665 SALMON AVE",
            "city": "KINGS BEACH",
            "state": "CA",
            "postal_code": "961439800",
            "telephone_number": "530-546-1970",
            "fax_number": "530-546-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF PLACER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-05",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "530-889-2910",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM53867F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Placer County Community Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kings Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.