Organization Active NPI

Common Good Community

Doing business as Common Good Coordinated Care

  • Community Health Worker
  • Davis, CA
National Provider Identifier
1881441277
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
COMMON GOOD COMMUNITY
Doing business as
Common Good Coordinated Care
Practice address
412 C St
Davis, CA 95616-4127
Phone
(530) 276-8474
NPI assigned
May 2, 2024
Last updated
Jan 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Jason Honig, CHW CERTIFICATENPI 1043072879
Title
Co-Founder/Ceo
Phone
(530) 231-4413

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X NU
Community Health Worker 172V00000X NU Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

412 C St
Davis, CA 95616-4127

Mailing address

412 C St
Davis, CA 95616-4127
Phone (530) 231-4413

Other practice location 1

3820 Chiles Rd Unit 3119
Davis, CA 95618-4528
Phone (530) 276-8212

Other practice location 2

6300 Ehrhardt Ave
Sacramento, CA 95823-5637
Phone (916) 404-3229

Other names 1

  • Common Good Coordinated Care Doing business as

National Provider Directory

National Provider Directory

Locations

412 C St
Davis, CA 95616
Phone (530) 231-4413

4641 Marconi Ave
Sacramento, CA 95821

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1881441277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 C ST",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164127",
            "telephone_number": "530-231-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 C ST",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164127",
            "telephone_number": "530-276-8474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3820 Chiles Rd Unit 3119",
            "address_purpose": "LOCATION",
            "city": "Davis",
            "state": "CA",
            "postal_code": "956184528",
            "country_code": "US",
            "telephone_number": "530-276-8212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6300 Ehrhardt Ave",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958235637",
            "country_code": "US",
            "telephone_number": "916-404-3229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMON GOOD COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "HONIG",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CO-FOUNDER/CEO",
        "authorized_official_telephone_number": "530-231-4413",
        "authorized_official_credential": "CHW CERTIFICATE"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Common Good Coordinated Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Common Good Coordinated Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.