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VA NORTHERN CALIFORNIA
NPI 1457714362
Clinic/Center - Primary Care in Mather, CA

Active since March 30, 2016CLIA 05D0988241 · Accreditation
10535 HOSPITAL WAY, MATHER, CA 95655(916) 843-7000 Get Directions Write a Review

NPPES record last updated: March 30, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Va Northern California NPPES

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

VA NORTHERN CALIFORNIA (NPI 1457714362) is a healthcare organization registered as a primary care in Mather, California and active in the NPI registry since March 2016. The organization holds an CLIA Accreditation certificate valid through May 22, 2032 and lists Hyeon Hye Kang, Pharmacy Resident, as its authorized official.

NPPES Registry Identity

NPI1457714362
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameVA NORTHERN CALIFORNIA
Location Address10535 HOSPITAL WAYMather, CA 95655-4200
Mailing Address10535 Hospital WayMather, CA 95655
Phone(916) 843-7000
Organization SubpartNo
Authorized OfficialHyeon Hye KangPharmacy Resident · (858) 880-5058
Enumeration DateMarch 30, 2016
✔ NPI 1457714362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MI · 5302041049
10535 HOSPITAL WAY, Mather, CA 95655
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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 Accreditation 05D0988241

VA Northern California Hcs-Mather Division · Mather, CA
Active · expires May 22, 2032
CLIA Number05D0988241
Laboratory TypeHospital
Certificate Effective DateJune 22, 2001
Certificate Expiration DateMay 22, 2032
Laboratory DirectorKristen Vandewalker
Laboratory Phone(916) 843-7235
Laboratory LocationVA Northern California Hcs-Mather Division10535 Hospital Way, Mather, CA 95655
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

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

ALAYNA HUYNH NGUYEN
Pharmacist
10535 HOSPITAL WAY
MATHER, CA 95655
Sacramento County (916) 843-7000
KENDALL OSELIO
Student in an Organized Health Care Education/Training Program
10535 HOSPITAL WAY
MATHER, CA 95655
Sacramento County (916) 573-9981
MS. JANE CHAN RPH
Pharmacist
10535 HOSPITAL WAY
MATHER, CA 95655
Sacramento County (916) 366-5321
DR. PATRICIA L. DALTON M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
10535 HOSPITAL WAY, DEPT. OF VA SACRAMENTO MEDICAL CENTER
MATHER, CA 95655
Sacramento County (916) 843-7000
DR. NICHOLAS RANDALL MORRIS M.D.
Psychiatry & Neurology (Psychiatry)
10535 HOSPITAL WAY
MATHER, CA 95655
Sacramento County (916) 843-7000
SHIN SHAN CHO
Dietitian, Registered
10535 HOSPITAL WAY
MATHER, CA 95655
Sacramento County (916) 843-9022
BRENDA JACKSON LMFT
Marriage & Family Therapist
10535 HOSPITAL WAY
MATHER, CA 95655
Sacramento County (916) 843-2918
UMELO UGWOABA PHD, MPH
Psychologist
10535 HOSPITAL WAY
MATHER, CA 95655
Sacramento County (916) 843-2699

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 VA Northern California's NPI number?

The NPI number for VA Northern California is 1457714362. It was assigned to this organization in the NPPES registry on March 30, 2016.

Where is VA Northern California located?

VA Northern California is located at 10535 Hospital Way, Mather, CA 95655. The listed phone number is (916) 843-7000.

What is VA Northern California's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does VA Northern California hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D0988241) is associated with this NPI, valid through May 22, 2032. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for VA Northern California was last updated on March 30, 2016. 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.