MEDICARE: CALIFORNIA COVERAGE AND HEALTH INITIATIVES (CCHI)

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251V00000X	Voluntary or Charitable Agency

General Provider Information

NPI Number	:	1073365631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALIFORNIA COVERAGE AND HEALTH INITIATIVES (CCHI)

Provider Business Mailing Address
First Line	:	1107 9TH ST STE 650
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95814-3611
Country	:	US
Telephone Number	:	916-758-2201
Fax Number	:

Provider Business Practice Location Address
First Line	:	1107 9TH ST STE 650
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95814-3611
Country	:	US
Telephone Number	:	916-758-2201
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	BRIAN DOWD
Credential	:
Telephone Number	:	916-758-2201

Provider Enumeration Date	:	04/04/2024
Last Update Date	:	04/04/2024

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