Healthcare Provider Details

I. General information

NPI: 1194635292
Provider Name (Legal Business Name): NORTHBAY NAPA HOSPITAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 TRANCAS ST
NAPA CA
94558-2906
US

IV. Provider business mailing address

4500 BUSINESS CENTER DR ATTN: LEGAL DEPARTMENT
FAIRFIELD CA
94534-6888
US

V. Phone/Fax

Practice location:
  • Phone: 707-252-4411
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number StateNULL

VIII. Authorized Official

Name: TRONG LE
Title or Position: ASSOCIATE COUNSEL
Credential:
Phone: 707-646-3301