VA Northern California Health Care System

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

KY 3114 Issued in KY

Legal business name

VA NORTHERN CALIFORNIA HEALTH CARE SYSTEM

Practice address

5342 Dudley Blvd
McClellan, CA 95652-1012

Phone

(916) 561-7520

Fax

(916) 561-7529

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Gerarda W Persad, MSSW, LCSW

Title

Social Worker

Phone

(916) 561-7520

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1871539783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5342 DUDLEY BLVD",
            "city": "MCCLELLAN",
            "state": "CA",
            "postal_code": "956521012",
            "telephone_number": "916-561-7520",
            "fax_number": "916-561-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5342 DUDLEY BLVD",
            "city": "MCCLELLAN",
            "state": "CA",
            "postal_code": "956521012",
            "telephone_number": "916-561-7520",
            "fax_number": "916-561-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA NORTHERN CALIFORNIA HEALTH CARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "PERSAD",
        "authorized_official_first_name": "GERARDA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "916-561-7520",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "KY",
            "license": "KY 3114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Torres
• Suzanne Trygar
• Zin Nwe Nwe Tun, M.D
• Maya Catherine Uemura
• Uscg Airsta Sacramento
• Sarah D Vaccaro
• Michelle L. Velega, PT
• Charisse May C. Vivar, PHARM.D.
• Amanda Vu
• Patti Jane Walters, RN

• Health Maintenance Organization in McClellan, CA
• Providers in McClellan, CA by specialty
• Health Maintenance Organization in California

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