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BUDDYS RANCH LLC
NPI 1053146076
Clinic/Center - Adult Mental Health in Yuba City, CA

Active since September 09, 2024
1303 GRAY AVE, YUBA CITY, CA 95991(530) 632-8219(916) 500-0609 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Buddys Ranch Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BUDDYS RANCH LLC (NPI 1053146076), doing business as Buddys Ranch, is a healthcare organization registered as an adult mental health in Yuba City, California and active in the NPI registry since September 2024. The organization maintains a secondary practice location in Yuba City and lists Thomas Harris, Cfo, as its authorized official.

NPPES Registry Identity

NPI1053146076
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameBUDDYS RANCH LLC
Location Address1303 GRAY AVEYuba City, CA 95991-3204
Mailing AddressPo Box 802Yuba City, CA 95992-0802 · (530) 632-8219 · Fax (916) 500-0609
Phone(530) 632-8219
Fax(916) 500-0609
Organization SubpartYes
Authorized OfficialThomas HarrisCfo · (530) 632-8219
Enumeration DateSeptember 9, 2024
NPPES CertifiedSeptember 8, 2024
✔ NPI 1053146076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
1303 GRAY AVE, Yuba City, CA 95991
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Other Names 1

Doing Business AsBuddys Ranch

Secondary Practice Location 1

Location 11352 Colusa Hwy Ste 200Yuba City, CA 95993-9147 · Phone (530) 632-8219 · Fax (916) 500-0609

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2307902

Buddy's Ranch LLC · Yuba City, CA
Expired · Jul 16, 2026
CLIA Number05D2307902
Laboratory TypeOutpatient Sud Treatment
Certificate Effective DateJuly 17, 2024
Certificate Expiration DateJuly 16, 2026
Laboratory DirectorDavid I. Deyhimy
Laboratory Phone(530) 674-1049
Laboratory LocationBuddy's Ranch LLC1303 Gray Ave, Yuba City, CA 95991
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Buddys Ranch LLC's NPI number?

The NPI number for Buddys Ranch LLC is 1053146076. It was assigned to this organization in the NPPES registry on September 9, 2024. The provider is doing business as Buddys Ranch.

Where is Buddys Ranch LLC located?

Buddys Ranch LLC is located at 1303 Gray Ave, Yuba City, CA 95991. The listed phone number is (530) 632-8219.

What is Buddys Ranch LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Buddys Ranch LLC was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.