NPIMap

Organization Active NPI

County of Solano

  • Federally Qualified Health Center (FQHC)
  • Fairfield, CA
National Provider Identifier
1427330869
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COUNTY OF SOLANO
Practice address
2201 Courage Dr
Fairfield, CA 94533-6733
Phone
(707) 784-2010
Fax
(707) 784-2032
NPI assigned
Sep 12, 2011
Last updated
Apr 10, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF SOLANOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Girlie Jarumay
Title
H&SS Chief Dep Administration
Phone
(707) 784-8387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X CA Primary

Addresses

Primary practice location

2201 Courage Dr
Fairfield, CA 94533-6733

Mailing address

275 Beck Ave # Ms 5215
Fairfield, CA 94533-6804
Phone (707) 784-8575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140618001898 CA Part A Provider - Federally Qualified Health Center (FQHC) 7911893177 Practice locations: Fairfield, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427330869. Details of each certification follow.

Federally qualified health center certification: CCN 751112

Legal name
COUNTY OF SOLANO
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 1, 2014
Last certification
Jul 1, 2014
Ownership / control type
Non-profit – corporation
Organization structure
GovernmentNon-profit
Enrollment address
2201 Courage Dr
Fairfield, CA 94533-6733

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
County of Solano35 organizations share this tax ID, including this one
Part of
County of Solano

Other organizations with this tax ID 34

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

View all 34

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michele Frances Leary Individual Corporate OfficerChief Medical Officer Apr 30, 2022 100%
W-2 Managing EmployeeChief Medical Officer Apr 30, 2022 100%
Dona M Weissenfels Individual Corporate OfficerClinic Operations Officer Apr 30, 2022 100%
W-2 Managing EmployeeClinic Operations Officer Apr 30, 2022 100%
Bela Matyas Individual Corporate OfficerDeputy Director HSS; Health Officer Apr 30, 2022 100%
W-2 Managing EmployeeDeputy Director HSS; Health Officer Apr 30, 2022 100%
Niccore J Tyler Individual W-2 Managing EmployeeAdministrative Services Manager Apr 30, 2022 100%
Maria Teresa Lapira Individual Corporate OfficerDirector of Administrative Services Jan 1, 2014 100%
W-2 Managing EmployeeDirector of Administrative Services Jan 1, 2014 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
County of SolanoFairfield, CA, CCN 551167 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 9, 2022
County of SolanoFairfield, CA, CCN 551166 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 12, 2022
County of SolanoVacaville, CA, CCN 551170 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 19, 2009
County of SolanoFairfield, CA, CCN 751110 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 1966
Jan 1, 1966
County of SolanoVallejo, CA, CCN 751131 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Feb 18, 1966
Feb 18, 1966

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • County of Solano
    • Federally Qualified Health Center (FQHC)
    • Fairfield, CA
    • NPI 1083845275

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of Solano
    • Federally Qualified Health Center (FQHC)
    • Vacaville, CA
    • NPI 1710274899

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Solano
    • Federally Qualified Health Center (FQHC)
    • Vallejo, CA
    • NPI 1730310236

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of Solano
    • Federally Qualified Health Center (FQHC)
    • Fairfield, CA
    • NPI 1730470006

    5% Or Greater Direct Ownership Interest

    CMS ownership

NPI Registry JSON

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1427330869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 BECK AVE # MS 5215",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336804",
            "telephone_number": "707-784-8575",
            "fax_number": "707-487-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 COURAGE DR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336733",
            "telephone_number": "707-784-2010",
            "fax_number": "707-784-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SOLANO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SOLANO",
        "enumeration_date": "2011-09-12",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "JARUMAY",
        "authorized_official_first_name": "GIRLIE",
        "authorized_official_title_or_position": "H&SS CHIEF DEP ADMINISTRATION",
        "authorized_official_telephone_number": "707-784-8387"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.