Grassroots Health a Social Purpose Corporation
NPI 1609594431 · Primary Care Clinic/Center · Vacaville, CA
Provider details
- NPI number
- 1609594431
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jerry Cline, Physician(707) 887-3651
Specialties & taxonomies
Ambulatory Health Care Facilities
- Voluntary or Charitable Agency251V00000X
Agencies
- Ambulatory Family Planning Facility261QA0005X
Ambulatory Health Care Facilities
- Community Health Clinic/Center261QC1500X
Ambulatory Health Care Facilities
- Migrant Health Clinic/Center261QM1000X
Ambulatory Health Care Facilities
- Case Management Agency251B00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Grassroots Dpc
- Doing business as
- Grassroots Dpc
Additional practice locations (1)
- 743 E Tabor AveFairfield, CA 94533-4046Phone: (707) 247-2933Fax: (707) 210-0480
Registry dates
- Enumerated
- 2022-08-18
- Last updated
- 2025-06-20
- Certified
- 2025-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.