MEDICARE: COUNTY OF SUTTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5884	OTHER	CA	SHORT-DOYLE MEDI-CAL

General Provider Information

NPI Number	:	1285853531
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF SUTTER

Provider Business Mailing Address
First Line	:	545 GARDEN HWY STE B
Second Line	:	ATTN SYBH (MHSA HOLLY OAK)
City	:	YUBA CITY
State	:	CA
Zip	:	95991-6338
Country	:	US
Telephone Number	:	530-674-1885
Fax Number	:	530-822-7227

Provider Business Practice Location Address
First Line	:	545 GARDEN HWY STE B
Second Line	:	ATTN SYBH (MHSA HOLLY OAK)
City	:	YUBA CITY
State	:	CA
Zip	:	95991-6338
Country	:	US
Telephone Number	:	530-674-1885
Fax Number	:	530-822-7227

Authorized Official
Title or Position	:	ASSISTANT HHS DIRECTOR
Name	:	RICK BINGHAM
Credential	:	LMFT
Telephone Number	:	530-822-7327

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	08/13/2019

Similar Medicare Providers

1720582919 — DIANA TINOCO ANGUIANO
Practice Location Address:

545 GARDEN HWY STE B
YUBA CITY, CA
95991-6338

Practice Phone: 530-674-1885
Practice Fax:

1063393403 — CRYSTAL NICOLE COMPTON SUDRC I #22659
Practice Location Address:

545 GARDEN HWY STE A
YUBA CITY, CA
95991-6338

Practice Phone: 530-822-7263
Practice Fax:

1477954535 — COUNTY OF SUTTER
Practice Location Address:

545 GARDEN HWY STE A-1&A2
YUBA CITY, CA
95991-6338

Practice Phone: 530-822-7263
Practice Fax:

1992209100 — CECILIA ESPARZA
Practice Location Address:

545 GARDEN HWY STE B
YUBA CITY, CA
95991-6338

Practice Phone: 530-674-1885
Practice Fax:

1790438737 — LAURA DIAZ
Practice Location Address:

545 GARDEN HWY
YUBA CITY, CA
95991-6338

Practice Phone: 530-674-1885
Practice Fax:

1487372694 — MRS. MARIA DEL REFUGIO GARCIA
Practice Location Address:

545 GARDEN HWY STE B
YUBA CITY, CA
95991-6338

Practice Phone: 530-674-1885
Practice Fax:

Directions to “COUNTY OF SUTTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.