NPIMap

Organization Active NPI

Rio Vista Care, Inc.

  • Community/Behavioral Health Agency
  • Rio Vista, CA
National Provider Identifier
1295880821
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
480012AN Issued in CA
Legal business name
RIO VISTA CARE, INC.
Practice address
628 Montezuma St
Rio Vista, CA 94571-1622
Phone
(707) 374-5243
Fax
(707) 374-5381
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Authorized official

Name
Mrs. Adriana Bejarano
Title
Executive Director
Phone
(707) 374-5243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 480012AN CA Primary

Addresses

Primary practice location

628 Montezuma St
Rio Vista, CA 94571-1622

Mailing address

628 Montezuma St
P.O. Box 576
Rio Vista, CA 94571-1622
Phone (707) 374-5243

National Provider Directory

National Provider Directory
Tax ID family
Rio Vista Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1295880821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 MONTEZUMA ST",
            "address_2": "P.O. BOX 576",
            "city": "RIO VISTA",
            "state": "CA",
            "postal_code": "945711622",
            "telephone_number": "707-374-5243",
            "fax_number": "707-374-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 MONTEZUMA ST",
            "city": "RIO VISTA",
            "state": "CA",
            "postal_code": "945711622",
            "telephone_number": "707-374-5243",
            "fax_number": "707-374-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO VISTA CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "BEJARANO",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "707-374-5243",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "480012AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.