NPIMap

Organization Active NPI

County of El Dorado

  • Community/Behavioral Health Agency
  • Shingle Springs, CA
National Provider Identifier
1720505779
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COUNTY OF EL DORADO
Practice address
3974 Durock Rd Ste 205
Shingle Springs, CA 95682-8568
Phone
(530) 621-6659
NPI assigned
Aug 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Authorized official

Name
Salina Marie Drennan
Title
Suds Program Administrator
Phone
(530) 621-6207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3974 Durock Rd Ste 205
Shingle Springs, CA 95682-8568

Mailing address

768 Pleasant Valley Rd Ste 201
Diamond Springs, CA 95619-9260
Phone (530) 621-6146

Other names 1

  • Alcohol and Drug Program-CCC Program Other name

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

3974 Durock Rd
Ste 205
Shingle Springs, CA 95682
Phone (530) 621-4687

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": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1720505779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 PLEASANT VALLEY RD STE 201",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "956199260",
            "telephone_number": "530-621-6146",
            "fax_number": "530-295-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3974 DUROCK RD STE 205",
            "city": "SHINGLE SPRINGS",
            "state": "CA",
            "postal_code": "956828568",
            "telephone_number": "530-621-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF EL DORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-29",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "DRENNAN",
        "authorized_official_first_name": "SALINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SUDS PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "530-621-6207"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alcohol and Drug Program-CCC Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shingle Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.