Organization Active NPI

El Dorado County Health Services Department

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Placerville, CA
National Provider Identifier
1679774822
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
EL DORADO COUNTY HEALTH SERVICES DEPARTMENT
Practice address
2808 Mallard LN
Suite C
Placerville, CA 95667-8770
Phone
(530) 621-6149
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Neda West
Title
Health Services Department Director
Phone
(530) 621-6149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X CA Primary

Addresses

Primary practice location

2808 Mallard LN
Suite C
Placerville, CA 95667-8770

Mailing address

670 Placerville Dr
Suite B
Placerville, CA 95667-4200
Phone (530) 621-6290

National Provider Directory

National Provider Directory
Tax ID family
El Dorado County Ambula22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

2808 Mallard Ln
#C
Placerville, CA 95667
Phone (530) 621-6557

670 Placerville Dr
Ste B
Placerville, CA 95667

Practitioners & affiliated clinicians

Practitioners 2

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": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1679774822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 PLACERVILLE DR",
            "address_2": "SUITE B",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674200",
            "telephone_number": "530-621-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 MALLARD LN",
            "address_2": "SUITE C",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956678770",
            "telephone_number": "530-621-6149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL DORADO COUNTY HEALTH SERVICES DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "NEDA",
        "authorized_official_title_or_position": "HEALTH SERVICES DEPARTMENT DIRECTOR",
        "authorized_official_telephone_number": "530-621-6149",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.