Provider Demographics
NPI:1215064100
Name:VOLUNTEERS OF AMERICA NORTHERN CALIFORNIA & NORTHERN NEVADA
Entity type:Organization
Organization Name:VOLUNTEERS OF AMERICA NORTHERN CALIFORNIA & NORTHERN NEVADA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:LEO
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:MCFARLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-265-3972
Mailing Address - Street 1:3434 MARCONI AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-6242
Mailing Address - Country:US
Mailing Address - Phone:916-265-3400
Mailing Address - Fax:916-442-1861
Practice Address - Street 1:2364 E 15TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94601-1037
Practice Address - Country:US
Practice Address - Phone:510-261-1855
Practice Address - Fax:510-261-1856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA324500000X
324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA3460Medicare UPIN