NPIMap

Organization Active NPI

Sacramento County DHHS

  • Clinic/Center
  • Elk Grove, CA
National Provider Identifier
1467558783
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
VN111149 Issued in CA
Legal business name
SACRAMENTO COUNTY DHHS
Practice address
6808 Rio Tejo Way
Elk Grove, CA 95757-3432
Phone
(916) 875-0802
Fax
(916) 875-0854
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Estelita D. AveraNPI 1093806903
Title
LVN
Phone
(916) 875-0802

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X VN111149 CA Primary

Addresses

Primary practice location

6808 Rio Tejo Way
Elk Grove, CA 95757-3432

Mailing address

6808 Rio Tejo Way
Elk Grove, CA 95757-3432
Phone (916) 875-0802

Other names 1

  • AS ABOVE Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467558783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6808 RIO TEJO WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957573432",
            "telephone_number": "916-875-0802",
            "fax_number": "916-875-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6808 RIO TEJO WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957573432",
            "telephone_number": "916-875-0802",
            "fax_number": "916-875-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRAMENTO COUNTY DHHS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AVERA",
        "authorized_official_first_name": "ESTELITA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "LVN",
        "authorized_official_telephone_number": "916-875-0802",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "VN111149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AS ABOVE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.