NPIMap

Organization Active NPI

Yuba County Jail

  • Prison Health Clinic/Center
  • Marysville, CA
National Provider Identifier
1366200255
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
YUBA COUNTY JAIL
Practice address
215 5TH St
Marysville, CA 95901-0100
Phone
(530) 749-7740
NPI assigned
Mar 6, 2024
Organization subpart
Yes
Parent organization
COUNTY OF YUBAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Stephanie Lucio
Title
Project Manager
Phone
(530) 812-3815

Specialties & licenses 1

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

Addresses

Primary practice location

215 5TH St
Marysville, CA 95901-0100

Mailing address

215 5TH St
Marysville, CA 95901-0100

Other names 1

  • Yuba County Jail Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2323017Wellpath, Yuba County Main Jail215 5TH Street, Marysville, CA 95901Certificate of waiverApr 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Yuba County Probation - Tri-County Detention Center11 organizations share this tax ID, including this one
Part of
Yuba County Probation - Tri-County Detention Center

Other organizations with this tax ID 10

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

Locations

215 5th St
Marysville, CA 95901
Phone (530) 354-1963

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1366200255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 5TH ST",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959010100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 5TH ST",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959010100",
            "telephone_number": "530-749-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUBA COUNTY JAIL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF YUBA",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "LUCIO",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "530-812-3815"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yuba County Jail",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marysville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.