GRASSROOTS HEALTH A SOCIAL PURPOSE CORPORATION
NPI 1609594431
Clinic/Center - Primary Care in Vacaville, CA

Q: What is Grassroots Health A Social Purpose Corporation's specialty?

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

Active since August 18, 2022CLIA 05D2330442 · Waiver

97 DOBBINS ST STE A, VACAVILLE, CA 95688(707) 887-3651(707) 210-0480 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 20, 2025, Aug 18, 2022 (2 updates tracked since 2022).

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About Grassroots Health A Social Purpose Corporation NPPES

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

GRASSROOTS HEALTH A SOCIAL PURPOSE CORPORATION (NPI 1609594431), doing business as Grassroots Dpc, is a healthcare organization registered as a primary care in Vacaville, California and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through September 15, 2027, maintains a secondary practice location in Fairfield, and lists Jerry Michael Cline, Physician, as its authorized official.

NPPES Registry Identity

NPI1609594431

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameGRASSROOTS HEALTH A SOCIAL PURPOSE CORPORATION

Location Address97 DOBBINS ST STE AVacaville, CA 95688-2700

Mailing Address97 Dobbins St Ste AVacaville, CA 95688-2700 · (707) 887-3651 · Fax (707) 210-0480

Phone(707) 887-3651

Fax(707) 210-0480

Organization SubpartNo

Authorized OfficialJerry Michael ClinePhysician · (707) 887-3651

Enumeration DateAugust 18, 2022

Last NPPES UpdateJune 20, 20252 updates tracked since enumeration

NPPES CertifiedJune 20, 2025

✔ NPI 1609594431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedVoluntary or CharitableTaxonomy 251V00000X

Also ListedClinic/Center · Ambulatory Family Planning FacilityTaxonomy 261QA0005X

Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X

Also ListedClinic/Center · Migrant HealthTaxonomy 261QM1000X

97 DOBBINS ST STE A, Vacaville, CA 95688

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Other Names 1

Doing Business AsGrassroots Dpc

Secondary Practice Location 1

Location 1743 E Tabor AveFairfield, CA 94533-4046 · Phone (707) 247-2933 · Fax (707) 210-0480

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 05D2330442

Grassroots Health Poc Lab · Vacaville, CA

Active · expires Sep 15, 2027

CLIA Number05D2330442

Laboratory TypePhysician Office

Certificate Effective DateSeptember 16, 2025

Certificate Expiration DateSeptember 15, 2027

Laboratory DirectorJerry Cline

Laboratory Phone(707) 887-3651

Laboratory LocationGrassroots Health Poc Lab97 Dobbins St, Suite A, Vacaville, CA 95688

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. JERRY MICHAEL CLINE M.D.

Obstetrics & Gynecology (Obstetrics)

97 DOBBINS ST STE A
VACAVILLE, CA 95688

Solano County (707) 887-3651

KATHY I PETTENGILL

Counselor (Mental Health)

97 DOBBINS ST STE A
VACAVILLE, CA 95688

Solano County (707) 628-6004

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 Grassroots Health A Social Purpose Corporation's NPI number?

The NPI number for Grassroots Health A Social Purpose Corporation is 1609594431. It was assigned to this organization in the NPPES registry on August 18, 2022. The provider is doing business as Grassroots DPC.

Where is Grassroots Health A Social Purpose Corporation located?

Grassroots Health A Social Purpose Corporation is located at 97 Dobbins St Ste A, Vacaville, CA 95688. The listed phone number is (707) 887-3651.

What is Grassroots Health A Social Purpose Corporation's specialty?

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

Does Grassroots Health A Social Purpose Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2330442) is associated with this NPI, valid through September 15, 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 Grassroots Health A Social Purpose Corporation was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.