NPIMap

Organization Active NPI

County of Sacramento

Doing business as CCS Starr King MTU

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Carmichael, CA
National Provider Identifier
1730250192
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
COUNTY OF SACRAMENTO
Doing business as
CCS Starr King MTU
Practice address
4848 Cottage Way
Carmichael, CA 95608-5612
Phone
(916) 485-8877
Fax
(916) 487-7589
NPI assigned
Nov 10, 2006
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
Bernice Walton
Title
Division Chief
Phone
(916) 875-6086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

4848 Cottage Way
Carmichael, CA 95608-5612

Mailing address

7001A East Pkwy
Suite 600
Sacramento, CA 95823-2501
Phone (916) 875-5881

Other identifiers 1

IdentifierTypeStateIssuer
CCS00001FMedicaidCA

Other names 1

  • CCS Starr King MTU Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northeast Health Center88 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

4848 Cottage Way
Carmichael, CA 95608
Phone (916) 485-8877

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730250192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001A EAST PKWY",
            "address_2": "SUITE 600",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232501",
            "telephone_number": "916-875-5881",
            "fax_number": "916-875-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 COTTAGE WAY",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956085612",
            "telephone_number": "916-485-8877",
            "fax_number": "916-487-7589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SACRAMENTO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "BERNICE",
        "authorized_official_title_or_position": "DIVISION CHIEF",
        "authorized_official_telephone_number": "916-875-6086"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CCS00001F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCS Starr King MTU",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmichael, 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.