Provider Demographics
NPI:1790210359
Name:VA HOSPITAL MATHER
Entity Type:Organization
Organization Name:VA HOSPITAL MATHER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED RESPIRATORY THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JOYCELIN
Authorized Official - Middle Name:NITIKA
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:916-548-1562
Mailing Address - Street 1:3131 SPARROW DRIVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-0002
Mailing Address - Country:US
Mailing Address - Phone:916-548-1562
Mailing Address - Fax:
Practice Address - Street 1:3131 SPARROW DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-2639
Practice Address - Country:US
Practice Address - Phone:916-548-1562
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-20
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30666282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital