Healthcare Provider Details

I. General information

NPI: 1285704098
Provider Name (Legal Business Name): CALIFORNIA MEDICAL FACILITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALIFORNIA AVE.
VACAVILLE CA
95696-2000
US

IV. Provider business mailing address

1142 TULARE DR
VACAVILLE CA
95687-6621
US

V. Phone/Fax

Practice location:
  • Phone: 707-448-6841
  • Fax:
Mailing address:
  • Phone: 707-447-5666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code284300000X
TaxonomySpecial Hospital
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID SILBAUGH
Title or Position: CHIEF PSYCHOLOGIST
Credential:
Phone: 760-449-6582