| Veterans Home Of California | |
| 
					100 California Dr Yountville CA 94599-1411  | |
| (707) 944-4622 | |
| (707) 948-3319 | 
| Full Name | Veterans Home Of California | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 100 California Dr, Yountville, California | 
| Authorized Official Name and Position | Donald L. Veverka (ADMINISTRATOR) | 
| Authorized Official Contact | 7079444501 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Veterans Home Of California Po Box 942895 Sacramento CA 94295-0001 Ph: (916) 653-0080  | Veterans Home Of California 100 California Dr Yountville CA 94599-1411 Ph: (707) 944-4622  | 
| NPI Number | 1609011618 | 
|---|---|
| Provider Enumeration Date | 12/04/2008 | 
| Last Update Date | 09/14/2015 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1609011618 | NPI | - | NPPES | 
| 524627 | Other | CA | DENTI-CAL PROVIDER NUMBER | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 15000494 (California) | Primary |