California Department of Public Health

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CALIFORNIA DEPARTMENT OF PUBLIC HEALTH

Doing business as

California Department of Public Health

Practice address

28454 Livingston Ave
Valencia, CA 91355-4172

Phone

(510) 412-5846

NPI assigned

Sep 23, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Paul Kimsey, PHD

Title

Public Health Laboratory Director

Phone

(510) 412-5846

Specialties & licenses 1

Addresses

Other names 1

• California Department of Public Health Doing business as

Locations

Practitioners 2

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

• Ina Una Park, MD

  • Family Medicine Physician
  • Richmond, CA
  • NPI 1831167378
  NPD (past)
• Duc Jackson Vugia, M.D.

  • Public Health & General Preventive Medicine Physician
  • Richmond, CA
  • NPI 1912273335
  NPD (past)

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1689281784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 MARINA BAY PKWY BLDG P",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948046403",
            "telephone_number": "510-412-5846",
            "fax_number": "510-412-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28454 LIVINGSTON AVE",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554172",
            "telephone_number": "510-412-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA DEPARTMENT OF PUBLIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "KIMSEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PUBLIC HEALTH LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "510-412-5846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Department of Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie Brianna Cafagna-Mora
• Kobe Caguioa
• Haolin Cai, PHARMD
• Claudia Caldera
• Diana Elena Calderon, MFT
• California Psychological Services
• California Rehabilitation & Sports Therapy a California Physical Ther
• California Retina Consultants
• Rena Desai Callahan, M.D.
• Ira Zephaniah Talampas Calvo

• Clinical Medical Laboratory in Valencia, CA
• Providers in Valencia, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.