Healthcare Provider Details

I. General information

NPI: 1154207082
Provider Name (Legal Business Name): COUNTY OF SOLANO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 BECK AVE
FAIRFIELD CA
94533-4440
US

IV. Provider business mailing address

475 UNION AVE
FAIRFIELD CA
94533-6319
US

V. Phone/Fax

Practice location:
  • Phone: 707-784-6570
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JENNIVIVE VENZON
Title or Position: DIRECTOR OF AMIN SERVICES
Credential:
Phone: 707-784-7651