1. Home
  2. Directory
  3. California
  4. Fairfield
  5. Home Health
  6. NPI Profile

NORTHBAY HEALTH AT HOME
NPI 1356333793
Home Health in Fairfield, CA

Active since August 22, 2005CLIA 05D1020061 · Microscopy
4520 BUSINESS CENTER DRIVE, SUITE 160, FAIRFIELD, CA 94534(707) 646-3575(707) 646-3576 Get Directions Write a Review

NPPES record last updated: November 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northbay Health At Home NPPES

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

NORTHBAY HEALTH AT HOME (NPI 1356333793) is a healthcare organization registered as a home health in Fairfield, California and active in the NPI registry since August 2005. The organization holds a CLIA Microscopy certificate valid through April 3, 2027 and lists Aimee Brewer, Ambulatory Division President, as its authorized official.

NPPES Registry Identity

NPI1356333793
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameNORTHBAY HEALTHCARE GROUP
Location Address4520 BUSINESS CENTER DRIVE, SUITE 160Fairfield, CA 94534-6888
Mailing Address4500 Business Center DrFairfield, CA 94534-6888 · (707) 646-3575 · Fax (707) 646-3576
Phone(707) 646-3575
Fax(707) 646-3576
Organization SubpartYes
Authorized OfficialAimee BrewerAmbulatory Division President · (707) 646-5700
Enumeration DateAugust 22, 2005
Last NPPES UpdateNovember 9, 2015
✔ NPI 1356333793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in CA · 010000037
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
4520 BUSINESS CENTER DRIVE, Fairfield, CA 94534
Open in Google Maps ↗

Other Names 1

Other NameNorthbay Health At Home

Other Identifiers 2

MedicaidZZR07219FCA
Medicare OSCAR/certification057219CA

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 for Provider-Performed Microscopy Procedures (PPMP) 05D1020061

Northbay Healthcare Group Center For Primary Care · Fairfield, CA
Active · expires Apr 3, 2027
CLIA Number05D1020061
Laboratory TypePhysician Office
Certificate Effective DateApril 4, 2025
Certificate Expiration DateApril 3, 2027
Laboratory DirectorEhsan Ghods, Do
Laboratory Phone(707) 646-3500
Laboratory LocationNorthbay Healthcare Group Center For Primary Care4520 Business Center Dr Ste 200, Fairfield, CA 94534
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURIE BRESEE
Nurse Practitioner (Family)
4520 BUSINESS CENTER DRIVE, SUITE 180
FAIRFIELD, CA 94534
Solano County (707) 646-3555
DR. AMBER MARIE STIRLEN PSY.D.
Psychologist (Clinical)
4520 BUSINESS CENTER DRIVE, SUITE 200
FAIRFIELD, CA 94534
Solano County (707) 646-3534
EHSAN GHODS D.O.
Family Medicine
4520 BUSINESS CENTER DRIVE, SUITE 200
FAIRFIELD, CA 94534
Solano County (707) 646-3500
DR. LARISSA CHARTRAND M.D.
Internal Medicine
4520 BUSINESS CENTER DRIVE, 200
FAIRFIELD, CA 94534
Solano County (707) 646-5500

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 Northbay Healthcare Group's NPI number?

The NPI number for Northbay Healthcare Group is 1356333793. It was assigned to this organization in the NPPES registry on August 22, 2005. The provider is also known as Northbay Health At Home.

Where is Northbay Healthcare Group located?

Northbay Healthcare Group is located at 4520 Business Center Drive Suite 160, Fairfield, CA 94534. The listed phone number is (707) 646-3575.

What is Northbay Healthcare Group's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Northbay Healthcare Group hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D1020061) is associated with this NPI, valid through April 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northbay Healthcare Group was last updated on November 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.