Department of Veteran Affairs

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

LC 13808 Issued in CA

Legal business name

DEPARTMENT OF VETERAN AFFAIRS

Practice address

280 Cohasett Road
Chico, CA 95927

Phone

(530) 879-5017

Fax

(530) 899-0581

NPI assigned

Sep 5, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Karen Borrego, LCSW

Title

Acting Chief of Social Work Service

Phone

(916) 843-7383

Specialties & licenses 1

Addresses

Other names 1

• VA Northern California Health Care System Doing business as

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619070992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1895",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959271895",
            "telephone_number": "530-879-5017",
            "fax_number": "530-899-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 COHASETT ROAD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "95927",
            "telephone_number": "530-879-5017",
            "fax_number": "530-899-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERAN AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BORREGO",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "ACTING CHIEF OF SOCIAL WORK SERVICE",
        "authorized_official_telephone_number": "916-843-7383",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "LC  13808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VA Northern California Health Care System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aaron Robbert Demay
• Madison Wynne Dempewolf, FNP, RN
• Denis R. Westphal
• Emily Nicole Dennis, FNP
• Ariel Denny
• Azhley Jayde Gayotin Dequito
• Mellissa Derder, LVN
• Lilianne Juliette Derecktor Gaul
• Monica Lynn Derkacz, ACSW
• Deron Ludwig, M.D., Inc

• Clinic/Center in Chico, CA
• Providers in Chico, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.