NPIMap

Organization Active NPI

Northbay Healthcare Group

  • General Acute Care Hospital
  • Fairfield, CA
National Provider Identifier
1841525581
Registry record updated Oct 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
110000093 Issued in CA
Legal business name
NORTHBAY HEALTHCARE GROUP
Practice address
1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Phone
(707) 646-4193
Fax
(707) 399-2651
NPI assigned
Oct 14, 2009
Last updated
Oct 14, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHBAY HEALTHCARE GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 2009

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

Authorized official

Name
Ms. Margaret E Walbolt
Title
Vice President Adm Services
Phone
(707) 646-4196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 110000093 CA Primary

Addresses

Primary practice location

1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552

Mailing address

1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Phone (707) 646-4193

Other identifiers 1

IdentifierTypeStateIssuer
110000093OtherCADHS LICENSE

Other names 1

  • NorthBay Healthcare Center for Primary Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Northbay Healthcare Center for Primary Care2 organizations share this tax ID, including this one
Part of
McCombs and Wilson MDS

Other organizations with this tax ID 1

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

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": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1841525581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 B GALE WILSON BLVD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333552",
            "telephone_number": "707-646-4193",
            "fax_number": "707-399-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 B GALE WILSON BLVD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333552",
            "telephone_number": "707-646-4193",
            "fax_number": "707-399-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHBAY HEALTHCARE GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHBAY HEALTHCARE GROUP",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "WALBOLT",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT ADM SERVICES",
        "authorized_official_telephone_number": "707-646-4196",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "110000093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS LICENSE",
            "identifier": "110000093",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorthBay Healthcare Center for Primary Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 14, 2009; 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.