NPIMap

Organization Active NPI

County of Solano

  • Federally Qualified Health Center (FQHC)
  • Vallejo, CA
National Provider Identifier
1730310236
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COUNTY OF SOLANO
Practice address
365 Tuolumne St
Vallejo, CA 94590-5700
Phone
(707) 553-5509
Fax
(707) 553-5658
NPI assigned
Jul 31, 2009
Last updated
Apr 10, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF SOLANOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Girlie Jarumay
Title
H&SS Chief Dep Administration
Phone
(707) 784-8387

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
State or Local Public Health Clinic/Center 261QP0905X

Addresses

Primary practice location

365 Tuolumne St
Vallejo, CA 94590-5700

Mailing address

275 Beck Ave # Ms 5210
Fairfield, CA 94533-6804
Phone (707) 784-8575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040224001362 CA Part B Supplier - Clinic/Group Practice 7911893177 Receives reassigned benefits from 67 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Vallejo, CA; Vacaville, CA; Sacramento, CA; Morgan Hill, CA; Greenfield, CA; Fairfield, CA
O20121112000632 CA Part A Provider - Federally Qualified Health Center (FQHC) 7911893177 Practice locations: Vallejo, CA
O20150130001278 CA Part A Provider - Federally Qualified Health Center (FQHC) 7911893177 Practice locations: Vallejo, CA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1730310236. Details of each certification follow.

Federally qualified health center certification: CCN 551165

Legal name
COUNTY OF SOLANO
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 12, 2012
Last certification
Nov 12, 2012
Ownership / control type
Non-profit – corporation
Organization structure
GovernmentNon-profit
Enrollment address
365 Tuolumne St
Vallejo, CA 94590-5700

Federally qualified health center certification: CCN 751131

Legal name
COUNTY OF SOLANO
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 14, 2014
Last certification
Feb 14, 2014
Ownership / control type
Non-profit – church related
Organization structure
GovernmentNon-profit
Enrollment address
1055 Azuar Ave
Vallejo, CA 94592-1041

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Solano County Mental HL35 organizations share this tax ID, including this one
Part of
Solano County Mental HL

Other organizations with this tax ID 34

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

View all 34

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michele Frances Leary Individual Corporate OfficerChief Medical Officer Apr 24, 2022 100%
W-2 Managing EmployeeChief Medical Officer Apr 24, 2022 100%
W-2 Managing EmployeeChief Medical Officer Jun 30, 2022 100%
Dona M Weissenfels Individual Corporate OfficerClinic Operations Officer Apr 24, 2022 100%
W-2 Managing EmployeeClinic Operations Officer Apr 24, 2022 100%
W-2 Managing EmployeeClinic Operations Officer Jun 30, 2022 100%
Bela Matyas Individual Corporate OfficerDeputy Director HSS; Health Officer Apr 24, 2022 100%
W-2 Managing EmployeeDeputy Director HSS; Health Officer Apr 24, 2022 100%
Corporate OfficerDeputy Director HSS; Health Officer Jun 30, 2022 100%
Operational/Managerial ControlDeputy Director HSS; Health Officer Jun 30, 2022 100%
Niccore J Tyler Individual W-2 Managing EmployeeAdministrative Services Manager Apr 24, 2022 100%
Maria Teresa Lapira Individual Corporate Officer Nov 23, 2009
Operational/Managerial ControlCfo Feb 23, 2022 100%
Corporate OfficerDirector of Administrative Services Nov 23, 2009 100%
Operational/Managerial ControlDirector of Administrative Services Nov 29, 2009 100%
County of Solano Organization, Fairfield, CA 5% Or Greater Direct Ownership Interest Feb 18, 1966 100%
Operational/Managerial Control Feb 18, 1966

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • County of Solano
    • Federally Qualified Health Center (FQHC)
    • Fairfield, CA
    • NPI 1083845275

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of Solano
    • Federally Qualified Health Center (FQHC)
    • Fairfield, CA
    • NPI 1427330869

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of Solano
    • Public Health or Welfare Agency
    • Fairfield, CA
    • NPI 1508072588

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of Solano
    • Federally Qualified Health Center (FQHC)
    • Fairfield, CA
    • NPI 1508078817

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of Solano
    • Federally Qualified Health Center (FQHC)
    • Vacaville, CA
    • NPI 1710274899

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of Solano
    • State or Local Public Health Clinic/Center
    • Vallejo, CA
    • NPI 1730391053

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of Solano
    • Federally Qualified Health Center (FQHC)
    • Fairfield, CA
    • NPI 1730470006

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Michele F Leary, D.O.
    • Family Medicine Physician
    • Battle Mountain, NV
    • NPI 1437458213

    Corporate Officer, W-2 Managing Employee

    CMS ownership

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
County of SolanoFairfield, CA, CCN 551167 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 9, 2022
County of SolanoFairfield, CA, CCN 551166 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 12, 2022
County of SolanoVacaville, CA, CCN 551170 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 19, 2009
County of SolanoFairfield, CA, CCN 751110 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 1966
Jan 1, 1966

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • County of Solano
    • Federally Qualified Health Center (FQHC)
    • Fairfield, CA
    • NPI 1083845275

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of Solano
    • Federally Qualified Health Center (FQHC)
    • Vacaville, CA
    • NPI 1710274899

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Solano
    • Federally Qualified Health Center (FQHC)
    • Fairfield, CA
    • NPI 1730470006

    5% Or Greater Direct Ownership Interest

    CMS ownership

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1730310236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 BECK AVE # MS 5210",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336804",
            "telephone_number": "707-784-8575",
            "fax_number": "707-421-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 TUOLUMNE ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945905700",
            "telephone_number": "707-553-5509",
            "fax_number": "707-553-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SOLANO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SOLANO",
        "enumeration_date": "2009-07-31",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "JARUMAY",
        "authorized_official_first_name": "GIRLIE",
        "authorized_official_title_or_position": "H&SS CHIEF DEP ADMINISTRATION",
        "authorized_official_telephone_number": "707-784-8387"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

Verify at the official NPI Registry.