NPIMap

Organization Active NPI

Communicare Health Centers

Doing business as Davis Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Davis, CA
National Provider Identifier
1629296447
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNICARE HEALTH CENTERS
Doing business as
Davis Community Clinic
Practice address
2040 Sutter PL
Davis, CA 95616-6201
Phone
(530) 758-2060
NPI assigned
Apr 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kristie Stanley
Title
Director of Clinical Info Systems
Phone
(530) 753-3498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X CA Primary

Addresses

Primary practice location

2040 Sutter PL
Davis, CA 95616-6201

Mailing address

PO Box 1260
Davis, CA 95617-1260

Other identifiers 1

IdentifierTypeStateIssuer
HAP11771FOtherCAFPACT ID NUMBER

Other names 1

  • Davis Community Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Communicare Health Centers13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629296447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1260",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956171260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 SUTTER PL",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956166201",
            "telephone_number": "530-758-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNICARE HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL INFO SYSTEMS",
        "authorized_official_telephone_number": "530-753-3498"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FPACT ID NUMBER",
            "identifier": "HAP11771F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Community Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davis, CA

Sources for this page

  • 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.