NPIMap

Organization Active NPI

Veterans Home of California

  • Psychiatric/Mental Health Nurse Practitioner
  • Yountville, CA
National Provider Identifier
1306643168
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
VETERANS HOME OF CALIFORNIA
Practice address
100 California Drive
Yountville, CA 94599-1412
Phone
(707) 944-4506
Fax
(707) 944-5052
NPI assigned
Feb 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Authorized official

Name
Mr. Jay SF Caddell
Title
SNF Administrator
Phone
(707) 944-4520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

100 California Drive
Yountville, CA 94599-1412

Mailing address

100 California Drive, 3E, Room 13
Yountville, CA 94599-1412
Phone (707) 944-4506

National Provider Directory

National Provider Directory
Tax ID family
N M Holderman Mem HSP I8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1306643168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CALIFORNIA DRIVE, 3E, ROOM 13",
            "city": "YOUNTVILLE",
            "state": "CA",
            "postal_code": "945991412",
            "telephone_number": "707-944-4506",
            "fax_number": "707-944-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CALIFORNIA DRIVE",
            "city": "YOUNTVILLE",
            "state": "CA",
            "postal_code": "945991412",
            "telephone_number": "707-944-4506",
            "fax_number": "707-944-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS HOME OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "CADDELL",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "SF",
        "authorized_official_title_or_position": "SNF ADMINISTRATOR",
        "authorized_official_telephone_number": "707-944-4520",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yountville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.