Grassroots Health a Social Purpose Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

GRASSROOTS HEALTH A SOCIAL PURPOSE CORPORATION

Doing business as

Grassroots DPC

Practice address

97 Dobbins St Ste a
Vacaville, CA 95688-2700

Phone

(707) 887-3651

Fax

(707) 210-0480

NPI assigned

Aug 18, 2022

Organization subpart

No

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

Authorized official

Name

Jerry Michael Cline, MD

Title

Physician

Phone

(707) 887-3651

Specialties & licenses 7

Addresses

Other names 1

• Grassroots DPC Doing business as

Locations

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1609594431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 DOBBINS ST STE A",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956882700",
            "telephone_number": "707-887-3651",
            "fax_number": "707-210-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 DOBBINS ST STE A",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956882700",
            "telephone_number": "707-887-3651",
            "fax_number": "707-210-0480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "743 E Tabor Ave",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945334046",
            "country_code": "US",
            "telephone_number": "707-247-2933",
            "fax_number": "707-210-0480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRASSROOTS HEALTH A SOCIAL PURPOSE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "CLINE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "707-887-3651",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Migrant Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grassroots DPC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grassroots DPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Graceful Living MVN Care Home
• Kathryn Grady, COTA/L
• Sherry Grahn-Hull
• Prentice Grant III
• Victoria Elise Grant, CNS
• Grassroots Healthcare Foundation
• Tarey Shannon Graves-Wright
• Andrea Michelle Graves, PSY.D.
• Tanya M. Greenfield, PSY.D.
• Anjalee Greenwood, PSY.D., BCBA

• Primary Care Clinic/Center in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.