NPIMap

Organization Active NPI

Veterans Home of California

  • Dental Clinic/Center
  • Yountville, CA
National Provider Identifier
1609011618
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
15000494 Issued in CA
Legal business name
VETERANS HOME OF CALIFORNIA
Practice address
100 California Dr
Yountville, CA 94599-1411
Phone
(707) 944-4622
Fax
(707) 948-3319
NPI assigned
Dec 4, 2008
Last updated
Sep 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Authorized official

Name
Donald L. Veverka
Title
Administrator
Phone
(707) 944-4501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 15000494 CA Primary

Addresses

Primary practice location

100 California Dr
Yountville, CA 94599-1411

Mailing address

PO Box 942895
Sacramento, CA 94295-0001
Phone (916) 653-0080

Other identifiers 1

IdentifierTypeStateIssuer
524627OtherCADENTI-CAL PROVIDER NUMBER

Other names 1

  • N.M. Holderman Memorial Hospital Other name

National Provider Directory

National Provider Directory
Tax ID family
N M Holderman Mem Surg8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1609011618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 942895",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "942950001",
            "telephone_number": "916-653-0080",
            "fax_number": "916-653-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CALIFORNIA DR",
            "city": "YOUNTVILLE",
            "state": "CA",
            "postal_code": "945991411",
            "telephone_number": "707-944-4622",
            "fax_number": "707-948-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS HOME OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "VEVERKA",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "707-944-4501"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "15000494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL PROVIDER NUMBER",
            "identifier": "524627",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N.M. Holderman Memorial Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Yountville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.