NPIMap

Organization Active NPI

County of Mono

  • Prison Health Clinic/Center
  • Bridgeport, CA
National Provider Identifier
1295662435
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
COUNTY OF MONO
Practice address
25 Emigrant St
Bridgeport, CA 93517-8081
Phone
(760) 932-7549
Fax
(760) 932-7435
NPI assigned
May 4, 2026
Last updated
May 4, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF MONOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Magdaleno Hernandez
Title
Lieutenant
Phone
(760) 932-7549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X NU Primary

Addresses

Primary practice location

25 Emigrant St
Bridgeport, CA 93517-8081

Mailing address

25 Emigrant St
Bridgeport, CA 93517-8081
Phone (760) 932-7549

Other names 1

  • Mono County Sheriff's Office Other name

National Provider Directory

National Provider Directory
Tax ID family
Mono Gen Hospambulance SVC6 organizations share this tax ID, including this one
Part of
Mono Gen Hospambulance SVC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1777852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1295662435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 EMIGRANT ST",
            "city": "BRIDGEPORT",
            "state": "CA",
            "postal_code": "935178081",
            "telephone_number": "760-932-7549",
            "fax_number": "760-932-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 EMIGRANT ST",
            "city": "BRIDGEPORT",
            "state": "CA",
            "postal_code": "935178081",
            "telephone_number": "760-932-7549",
            "fax_number": "760-932-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MONO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF MONO",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MAGDALENO",
        "authorized_official_title_or_position": "LIEUTENANT",
        "authorized_official_telephone_number": "760-932-7549"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mono County Sheriff's Office",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bridgeport, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.