Healthcare Provider Details

I. General information

NPI: 1780712869
Provider Name (Legal Business Name): VACAVILLE UNIFIED SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 NUT TREE RD
VACAVILLE CA
95687-3508
US

IV. Provider business mailing address

401 NUT TREE RD
VACAVILLE CA
95687-3508
US

V. Phone/Fax

Practice location:
  • Phone: 707-469-2306
  • Fax:
Mailing address:
  • Phone: 707-469-2306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: ISABEL ULLOA
Title or Position: MENTAL HEALTH CLINICIAN II/LEAD
Credential:
Phone: 707-640-1567