NPIMap

Organization Active NPI

County of Solano

  • Federally Qualified Health Center (FQHC)
  • Fairfield, CA
National Provider Identifier
1508078817
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
2101 Courage Dr
Fairfield, CA 94533-6717
Phone
(707) 784-2010
Fax
(707) 435-2032
NPI assigned
May 7, 2007
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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X CA
Federally Qualified Health Center (FQHC) 261QF0400X CA Primary
State or Local Public Health Clinic/Center 261QP0905X NU

Addresses

Primary practice location

2101 Courage Dr
Fairfield, CA 94533-6717

Mailing address

275 Beck Ave MS5 210
Fairfield, CA 94533-6804
Phone (707) 784-8575

Other identifiers 1

IdentifierTypeStateIssuer
FHC11441FMedicaidCA

Other names 1

  • Solano County Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040224001362 CA Part B Supplier - Clinic/Group Practice 7911893177 Receives reassigned benefits from 67 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Vallejo, CA; Vacaville, CA; Sacramento, CA; Morgan Hill, CA; Greenfield, CA; Fairfield, CA
O20130103000015 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 1508078817. Details of each certification follow.

Federally qualified health center certification: CCN 551169

Legal name
COUNTY OF SOLANO
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 3, 2013
Last certification
Jan 3, 2013
Ownership / control type
Non-profit – corporation
Organization structure
GovernmentNon-profit
Enrollment address
2101 Courage Dr
Fairfield, CA 94533-6717

Other NPIs with the same Medicare PAC ID 7

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

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
County of Solano

Locations

2201 Courage Dr
Fairfield, CA 94533
Phone (707) 469-4640

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Maria Teresa Lapira Individual Corporate OfficerDirector of Administrative Services Nov 23, 2009 100%
Operational/Managerial ControlDirector of Administrative Services Mar 31, 2022 100%

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1508078817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 BECK AVE MS5 210",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336804",
            "telephone_number": "707-784-8575",
            "fax_number": "707-421-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 COURAGE DR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336717",
            "telephone_number": "707-784-2010",
            "fax_number": "707-435-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SOLANO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SOLANO",
        "enumeration_date": "2007-05-07",
        "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": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC11441F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solano County",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.