NPIMap

Organization Active NPI

Mather VA

  • Primary Care Clinic/Center
  • Fair Oaks, CA
National Provider Identifier
1760465637
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
14656 Issued in CA
Legal business name
MATHER VA
Practice address
8607 Olivewood CT
Fair Oaks, CA 95628-6317
Phone
(917) 967-7176
NPI assigned
Nov 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Noreen M Goodin, NPNPI 1902086127
Title
FNP
Phone
(916) 366-5450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 14656 CA Primary

Addresses

Primary practice location

8607 Olivewood CT
Fair Oaks, CA 95628-6317

Mailing address

8607 Olivewood CT
Fair Oaks, CA 95628-6317
Phone (917) 967-7176

National Provider Directory

National Provider Directory

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": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1760465637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8607 OLIVEWOOD CT",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956286317",
            "telephone_number": "917-967-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8607 OLIVEWOOD CT",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956286317",
            "telephone_number": "917-967-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATHER VA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "GOODIN",
        "authorized_official_first_name": "NOREEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "916-366-5450",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "14656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.