Organization Active NPI

Usaf

  • General Acute Care Hospital
  • Fairfield, CA
National Provider Identifier
1750365003
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
00726 Issued in PR
Legal business name
USAF
Practice address
101 Bodin Cir
Travis AFB
Fairfield, CA 94535-1809
Phone
(707) 423-7899
NPI assigned
Nov 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

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

Authorized official

Name
Maria de L Lebron, PHYSICAL THERAPIST
Title
Element Chief
Phone
(707) 423-7977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 00726 PR Primary

Addresses

Primary practice location

101 Bodin Cir
Travis AFB
Fairfield, CA 94535-1809

Mailing address

1300 Burton Dr
Apt 131
Vacaville, CA 95687-3526
Phone (707) 635-8801

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1750365003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BURTON DR",
            "address_2": "APT 131",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956873526",
            "telephone_number": "707-635-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "address_2": "TRAVIS AFB",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945351809",
            "telephone_number": "707-423-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USAF",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "LEBRON",
        "authorized_official_first_name": "MARIA DE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ELEMENT CHIEF",
        "authorized_official_telephone_number": "707-423-7977",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PR",
            "license": "00726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.