=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659219525
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | YOLO COUNTY SHERIFF'S DEPARTMENT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/23/2026
-----------------------------------------------------
Last Update Date | 03/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 140 TONY DIAZ DRIVE
-----------------------------------------------------
City | WOODLAND
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95776
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 530-406-5187
-----------------------------------------------------
Fax | 530-662-1255
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 140 TONY DIAZ DRIVE, WOODLAND CA 95776
-----------------------------------------------------
City | WOODLAND
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95776
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 530-406-5187
-----------------------------------------------------
Fax | 530-662-1255
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | IN-CUSTODY PROGRAMS COORDINATOR
-----------------------------------------------------
Name | ISMAEL HERNANDEZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 530-406-5187
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2400X
-----------------------------------------------------
Taxonomy Name | Prison Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------