University of Northern California

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

AC 737 Issued in CA

Legal business name

UNIVERSITY OF NORTHERN CALIFORNIA

Practice address

1300 Valley House Dr
Suite 100-27
Rohnert Park, CA 94928-4927

Phone

(707) 664-6365

NPI assigned

Jul 6, 2011

Organization subpart

No

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

Authorized official

Name

Young King Liu, PH. D., L.AC.

Title

President

Phone

(707) 636-5960

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1295022556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 VALLEY HOUSE DR",
            "address_2": "SUITE 100-27",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949284927",
            "telephone_number": "707-664-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 VALLEY HOUSE DR",
            "address_2": "SUITE 100-27",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949284927",
            "telephone_number": "707-664-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF NORTHERN CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "YOUNG KING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-636-5960",
        "authorized_official_credential": "PH. D., L.AC."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "AC 737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thanh-Hang Trinh, PHARMD
• Jenny Tsui, OPTOMETRIST
• Turning Point Community Programs
• Turning Point Community Programs
• John Fieldon Unguren, D.D.S.
• Ashley Urquhart
• Ashley Janae Valdivieso, RN
• Ghislaine N S Van Dissel, DO
• Jonathan Van Nuys, RN, MS, ANP-BC
• Kim M Vandeveer, L.AC.

• Health Maintenance Organization in Rohnert Park, CA
• Providers in Rohnert Park, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.