Organization Active NPI

Optimum Health Care Centet

  • State or Local Public Health Clinic/Center
  • Mather, CA
National Provider Identifier
1356588925
Registry record updated Jan 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
License
652506 Issued in CA
Legal business name
OPTIMUM HEALTH CARE CENTET
Practice address
4244 Mustic Way
Mather, CA 95655-3032
Phone
(916) 519-9462
NPI assigned
Jan 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2009

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

Authorized official

Name
Miss Ashley R Dobins, CMA
Title
Ceo
Phone
(916) 519-9462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X 652506 CA Primary

Addresses

Primary practice location

4244 Mustic Way
Mather, CA 95655-3032

Mailing address

4244 Mustic Way
Mather, CA 95655-3032

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232323200000",
    "number": "1356588925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4244 MUSTIC WAY",
            "city": "MATHER",
            "state": "CA",
            "postal_code": "956553032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4244 MUSTIC WAY",
            "city": "MATHER",
            "state": "CA",
            "postal_code": "956553032",
            "telephone_number": "916-519-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM HEALTH CARE CENTET",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-19",
        "last_updated": "2009-01-19",
        "status": "A",
        "authorized_official_last_name": "DOBINS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-519-9462",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CMA"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "CA",
            "license": "652506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mather, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; 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.