NPIMap

Organization Active NPI

Cache Creek Lodge, Inc.

  • Substance Abuse Rehabilitation Facility
  • Woodland, CA
National Provider Identifier
1780941658
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
570004BN Issued in CA
Legal business name
CACHE CREEK LODGE, INC.
Practice address
435 Aspen St
Woodland, CA 95695-2665
Phone
(530) 662-5727
NPI assigned
Apr 17, 2012
Last updated
Apr 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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

Authorized official

Name
Mr. Peter M Martinez
Title
Executive Director
Phone
(530) 662-5727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 570004BN CA Primary

Addresses

Primary practice location

435 Aspen St
Woodland, CA 95695-2665

Mailing address

435 Aspen St
Woodland, CA 95695
Phone (530) 662-5727

National Provider Directory

National Provider Directory
Tax ID family
Cache Creek Lodge Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

435 Aspen St
Woodland, CA 95695
Phone (530) 662-5727

NPI Registry JSON

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

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334620800000",
    "number": "1780941658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 ASPEN ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "95695",
            "telephone_number": "530-662-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ASPEN ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956952665",
            "telephone_number": "530-662-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CACHE CREEK LODGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-17",
        "last_updated": "2012-04-17",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "530-662-5727",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "570004BN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; 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.