Provider Demographics
NPI:1861549040
Name:PLACER COE
Entity type:Organization
Organization Name:PLACER COE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:CHIQUILLO
Authorized Official - Last Name:KAISER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-233-7620
Mailing Address - Street 1:1400 W STANFORD RANCH RD
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95765-3811
Mailing Address - Country:US
Mailing Address - Phone:916-630-0550
Mailing Address - Fax:
Practice Address - Street 1:1400 W STANFORD RANCH RD
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95765-3811
Practice Address - Country:US
Practice Address - Phone:916-630-0550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA31-10314OtherMEDI-CAL