California Correctional Health Care Services

Primary specialty

Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X

License

A26603 Issued in CA

Legal business name

CALIFORNIA CORRECTIONAL HEALTH CARE SERVICES

Practice address

8280 Long Leaf Drive
BLDG D-172
Elk Grove, CA 95758

Phone

(916) 691-6150

NPI assigned

Jun 3, 2013

Last updated

Jun 3, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Rekart, MD

Title

Chief of Mental Health

Phone

(916) 691-6150

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1548607393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8280 LONG LEAF DRIVE, BLDG D-172",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "95758",
            "telephone_number": "916-691-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8280 LONG LEAF DRIVE",
            "address_2": "BLDG D-172",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "95758",
            "telephone_number": "916-691-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA CORRECTIONAL HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "REKART",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF OF MENTAL HEALTH",
        "authorized_official_telephone_number": "916-691-6150",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "CA",
            "license": "A26603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dolores Calderon, M.D.
• Guadalupe Calderon
• Natalia Calderon
• Phillip Edward Caldwell IV, REGISTER MFT INTERN
• Shachrista Caldwell
• California Hospitalist Physicians Inc
• California Minute Clinic Inc
• California Northstate University
• California Northstate University
• California Northstate University, College of Medicine

• Substance Use Disorder Rehabilitation Hospital Unit in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Substance Use Disorder Rehabilitation Hospital Unit in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.