# VA NORTHERN CALIFORNIA HEALTH CARE SYSTEM

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

## Provider details

- **NPI number:** 1871539783
- **Authorized official:** MRS. GERARDA W PERSAD MSSW, LCSW (SOCIAL WORKER)
- **Authorized official phone:** (916) 561-7520

## Contact information

- **Practice address:** 5342 DUDLEY BLVD, MCCLELLAN, CA 95652-1012
- **Practice address phone:** (916) 561-7520
- **Practice address fax:** (916) 561-7529
- **Mailing address:** 5342 DUDLEY BLVD, MCCLELLAN, CA 95652-1012
- **Mailing address phone:** (916) 561-7520
- **Mailing address fax:** (916) 561-7529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | KY 3114 | KY | Yes |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 08/17/2007