Folsom Street Medical and Mental Health Services LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

0000 Issued in CA

Legal business name

FOLSOM STREET MEDICAL AND MENTAL HEALTH SERVICES LLC

Practice address

10089 Folsom Blvd
Rancho Cordova, CA 95670-1935

Phone

(916) 366-6531

Fax

(916) 366-6532

NPI assigned

Mar 5, 2014

Organization subpart

No

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

Authorized official

Name

Stan Sharma, PHD

Title

Manager

Phone

(661) 254-6630

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheri Ann Lira

  • Case Manager/Care Coordinator
  • Rancho Cordova, CA
  • NPI 1750958591
  NPD (past)

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393977600000",
    "number": "1861818593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26460 SUMMIT CIR",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502991",
            "telephone_number": "661-254-6630",
            "fax_number": "661-254-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10089 FOLSOM BLVD",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956701935",
            "telephone_number": "916-366-6531",
            "fax_number": "916-366-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOLSOM STREET MEDICAL AND MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-05",
        "last_updated": "2014-03-05",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "STAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "661-254-6630",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CA",
            "license": "0000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmin D Fields-Perez
• Emely Figueroa-Newell
• First Optometric Care of Northern California PC
• Shannon Fistner
• Folsom Cordova Unified School District
• Vanessa Cruz Fontes, PSYD
• Forceps LP
• Kasey Forest, D.P.T.
• Donald D. Forrester, MD
• James Thaddeus Foster, MD

• Methadone Clinic in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• Methadone Clinic in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.