Active NPI
Bi-Valley Medical Clinic, Inc.
- Methadone Clinic
- Sacramento, CA
National Provider Identifier
1609897529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- License
- 34-03
- Legal business name
- BI-VALLEY MEDICAL CLINIC, INC.
- Practice address
- 2100 Capitol Ave
Sacramento, CA 95816-5721 - Phone
- (916) 442-4985
- Fax
- (916) 442-1029
- NPI assigned
- Jul 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bruce Jarvie
- Title
- VP, Treasurer
- Phone
- (214) 379-3300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | 34-03 | CA | Primary |
Addresses
Primary practice location
2100 Capitol Ave
Sacramento, CA 95816-5721
Mailing address
1720 Lakepointe Dr Ste 117
Lewisville, TX 75057-6425
Phone (143) 793-3002
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CMM70096F | Other | CA | MEDI-CAL |
| GR0004550 | Other | CA | MEDI-CAL |
National Provider Directory
National Provider Directory- Tax ID family
- Baart Programs Carmichael
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Methadone Clinic
- Carmichael, CA
- NPI 1962423889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722211200000",
"number": "1609897529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 LAKEPOINTE DR STE 117",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750576425",
"telephone_number": "143-793-3002",
"fax_number": "214-853-9018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 CAPITOL AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165721",
"telephone_number": "916-442-4985",
"fax_number": "916-442-1029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BI-VALLEY MEDICAL CLINIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-23",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A",
"authorized_official_last_name": "JARVIE",
"authorized_official_first_name": "BRUCE",
"authorized_official_title_or_position": "VP, TREASURER",
"authorized_official_telephone_number": "214-379-3300"
},
"taxonomies": [
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": "CA",
"license": "34-03",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "CMM70096F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "GR0004550",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.