Healthcare Provider Details
I. General information
NPI: 1639217029
Provider Name (Legal Business Name): CAMINAR
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/01/2007
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
956 E TABOR AVE
FAIRFIELD CA
94533-4104
US
IV. Provider business mailing address
411 BOREL AVE STE 101
SAN MATEO CA
94402-3525
US
V. Phone/Fax
- Phone: 707-422-9345
- Fax: 707-422-2910
- Phone: 650-372-4080
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 320800000X |
| Taxonomy | Mental Illness Community Based Residential Treatment Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JENNIFER
LYNN
STEARNS
Title or Position: DIRECTOR OF QUALITY
Credential:
Phone: 408-841-4107