Organization Active NPI

Shamia Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Vallejo, CA
National Provider Identifier
1922420298
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SHAMIA RECOVERY CENTER
Practice address
126 Ohio St
Vallejo, CA 94590-5049
Phone
(707) 644-2577
NPI assigned
Jan 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Authorized official

Name
Terri Raiford
Title
Proogram Coordinator
Phone
(707) 644-2577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

126 Ohio St
Vallejo, CA 94590-5049

Mailing address

126 Ohio St
Vallejo, CA 94590-5049
Phone (707) 644-2577

National Provider Directory

National Provider Directory
Tax ID family
Frederic Ozanam Center -Emerald City31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

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

View all 30

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1922420298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 OHIO ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945905049",
            "telephone_number": "707-644-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 OHIO ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945905049",
            "telephone_number": "707-644-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMIA RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-01-06",
        "status": "A",
        "authorized_official_last_name": "RAIFORD",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "PROOGRAM COORDINATOR",
        "authorized_official_telephone_number": "707-644-2577"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.