# VA MATHER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437136066
- **Authorized official:** MINA CHARON MD (MEDICAL STAFF)
- **Authorized official phone:** (916) 366-5455

## Contact information

- **Practice address:** 10535 HOSPITAL WAY, MATHER, CA 95655-4200
- **Practice address phone:** (916) 366-5455
- **Practice address fax:** (916) 366-5376
- **Mailing address:** PO BOX 61123, SUNNYVALE, CA 94088-1123
- **Mailing address phone:** (916) 792-9123
- **Mailing address fax:** (916) 366-5376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | A64259 | CA | Yes |

## Other

- **Enumeration date:** 12/23/2005
- **Last updated:** 08/22/2020