Healthcare Provider Details

I. General information

NPI: 1225951874
Provider Name (Legal Business Name): VOLUNTEERS OF AMERICA NORTHERN CALIFORNIA & NORTHERN NEVADA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 SAGE ST
RENO NV
89512-3709
US

IV. Provider business mailing address

3434 MARCONI AVE
SACRAMENTO CA
95821-6242
US

V. Phone/Fax

Practice location:
  • Phone: 775-324-2622
  • Fax: 775-324-0446
Mailing address:
  • Phone: 916-265-3400
  • Fax: 916-442-1861

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: AR LAO
Title or Position: EHR MANAGER
Credential:
Phone: 916-265-3400