Organization Active NPI

Blackhawk Premier Care Inc

Doing business as Blackhawk Premier Health Solutions

  • Community/Behavioral Health Agency
  • Fairfield, CA
National Provider Identifier
1790691723
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BLACKHAWK PREMIER CARE INC
Doing business as
Blackhawk Premier Health Solutions
Practice address
5140 Business Center Dr Ste 210
Fairfield, CA 94534-1794
Phone
(702) 416-4270
NPI assigned
Aug 20, 2026
Last updated
Aug 20, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BLACKHAWK PREMIER CARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Temitope Omotayo
Title
President and Ceo
Phone
(702) 416-4270

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5140 Business Center Dr Ste 210
Fairfield, CA 94534-1794

Mailing address

5140 Business Center Dr Ste 210
Fairfield, CA 94534-1794

Other names 1

  • Blackhawk Premier Health Solutions Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Blackhawk Premier Care Inc2 organizations share this tax ID, including this one
Part of
Blackhawk Premier Care Inc

Other organizations with this tax ID 1

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

Locations

5140 Business Center Dr
Ste 210
Fairfield, CA 94534
Phone (702) 416-4270

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1787184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1790691723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 BUSINESS CENTER DR STE 210",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 BUSINESS CENTER DR STE 210",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341794",
            "telephone_number": "702-416-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKHAWK PREMIER CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLACKHAWK PREMIER CARE INC",
        "enumeration_date": "2026-08-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "OMOTAYO",
        "authorized_official_first_name": "TEMITOPE",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "702-416-4270"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blackhawk Premier Health Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 20, 2026; 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.