| Organization Name: | VA NORTHERN CALIFORNIA HEALTH CARE SYSTEM |
| NPI Number: | 1871539783 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GERARDA W PERSAD (SOCIAL WORKER) |
| Mailing Address: | 5342 Dudley Blvd Mcclellan |
| State: | CA US |
| Postal Code: | 956521012 |
| Phone Number: | 9165617520 |
| Fax Number: | 9165617529 |
| NPI Enumeration Date: | 06/20/2006 |
| NPI Last Update Date: | 08/17/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 302R00000X |
| License Number: | KY 3114 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Health Maintenance Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |