NPIMap

Organization Active NPI

Rio Vista Holistic Health Center

  • Clinic/Center
  • Rio Vista, CA
National Provider Identifier
1679203202
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RIO VISTA HOLISTIC HEALTH CENTER
Practice address
500 Main St
Rio Vista, CA 94571-1619
Phone
(707) 374-3142
Fax
(707) 374-3148
NPI assigned
Jun 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Mr. Darrel James Brown, FNPNPI 1568469922
Title
Practitioner and Owner
Phone
(707) 374-3142

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

500 Main St
Rio Vista, CA 94571-1619

Mailing address

500 Main St
Rio Vista, CA 94571-1619
Phone (707) 374-3142

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1679203202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MAIN ST",
            "city": "RIO VISTA",
            "state": "CA",
            "postal_code": "945711619",
            "telephone_number": "707-374-3142",
            "fax_number": "707-374-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MAIN ST",
            "city": "RIO VISTA",
            "state": "CA",
            "postal_code": "945711619",
            "telephone_number": "707-374-3142",
            "fax_number": "707-374-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO VISTA HOLISTIC HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DARREL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRACTITIONER AND OWNER",
        "authorized_official_telephone_number": "707-374-3142",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.