DIGNITY HEALTH MEDICAL FOUNDATION (NPI# 1033311824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033311824 |
Entity Type | Organization |
Organization Name | DIGNITY HEALTH MEDICAL FOUNDATION |
Other Organization Name | MERCY MEDICAL GROUP, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION |
Practice Address |
9394 Big Horn Blvd Elk Grove CA 95758-7977 |
Mailing Address |
Po Box 60000 File #72938 San Francisco CA 94160-2938 |
Practice Telephone | 9167333397 |
Practice Fax Number | 9167335385 |
Mailing Telephone | 9166918500 |
Mailing Fax Number | 9166918599 |
Enumeration Date | 2007-06-04 |
Last Update Date | 2014-12-17 |
Authorized Official Name | GEORGE LENZI (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 9168512559 |
Is Organization Subpart | Y |
Parent Organization Name | DIGNITY HEALTH MEDICAL FOUNDATION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
HN COMMERCIAL | 195 | 01 | |
CIGNA | 0019838 | 01 | |
BCCA | KYJ | 01 | |
HN MEDICARE | 983 | 01 | |
BSCA | ZZZ69884Z | 01 |
Other Name | Type Code |
---|---|
Mercy Medical Group, a service of Dignity Health Medical Foundation | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710129275 | Dignity Health Medical Foundation | Clinic/Center | 105 Dean Way, Folsom, CA 95630-2801 | 2009-03-30 |
1447492905 | Dignity Health Medical Foundation | Clinic/Center | 6060 Watt Ave, North Highlands, CA 95660-4212 | 2009-03-30 |
1366684821 | Dignity Health Medical Foundation | Clinic/Center | 10487 White Rock Rd, Rancho Cordova, CA 95670-5530 | 2009-03-30 |
1558495937 | Dignity Health Medical Foundation | Clinic/Center | 7911 Laguna Blvd, Elk Grove, CA 95758-7920 | 2007-03-15 |
1780226852 | Dignity Health Medical Foundation | Clinic/Center | 17051 Sierra Lakes Pkwy Ste 101, Fontana, CA 92336-1274 | 2019-10-10 |
1568989200 | Dignity Health Medical Foundation | Clinic/Center | 3400 Data Dr, Rancho Cordova, CA 95670-7956 | 2017-08-24 |
1477074474 | Dignity Health Medical Foundation | Clinic/Center | 3400 Data Dr, Rancho Cordova, CA 95670-7956 | 2017-06-29 |
1679019798 | Dignity Health Medical Foundation | Clinic/Center | 6615 Valley Hi Dr, Sacramento, CA 95823-7076 | 2017-01-12 |
1508222647 | Dignity Health Medical Foundation | Clinic/Center | 18406 Roscoe Blvd, Northridge, CA 91325-4107 | 2016-01-05 |
1376926527 | Dignity Health Medical Foundation | Clinic/Center | 17051 Sierra Lakes Pkwy, Suite 101, Fontana, CA 92336-1274 | 2015-07-07 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | DIGNITY HEALTH MEDICAL FOUNDATION | 3400 Data Dr, Rancho Cordova, CA 95670-7956 |
Street Address |
9394 BIG HORN BLVD |
City | ELK GROVE |
State | CA |
Zip Code | 95758-7977 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205812195 | Catharine Malmsten | Internal Medicine | 9394 Big Horn Blvd, Elk Grove, CA 95758-7977 | 2005-12-21 |
1841760170 | Chidinma Cynthia Ukah | Physician Assistant | 9394 Big Horn Blvd, Elk Grove, CA 95758-7977 | 2018-11-29 |
1770929382 | Thomas Tanner Mackey | Audiologist-Hearing Aid Fitter | 9394 Big Horn Blvd, Elk Grove, CA 95758-7977 | 2013-05-22 |
1770838104 | Vi Dam-pearson | Nurse Practitioner | 9394 Big Horn Blvd, Elk Grove, CA 95758-7977 | 2012-07-23 |
1437416625 | Tin Trong Nguyen | Internal Medicine | 9394 Big Horn Blvd, Elk Grove, CA 95758 | 2012-04-12 |
1013149012 | Azadeh Toofaninejad | Internal Medicine | 9394 Big Horn Blvd, Elk Grove, CA 95758 | 2009-08-10 |
1740433093 | Thomas Andrew Valdez | Family Medicine | 9394 Big Horn Blvd, Elk Grove, CA 95758-7977 | 2008-10-30 |
1427234012 | Adeela N Ansari | Internal Medicine | 9394 Big Horn Blvd, Elk Grove, CA 95758-7977 | 2008-01-14 |
1538260922 | Wendy W. Lin | Family Medicine | 9394 Big Horn Blvd, Elk Grove, CA 95758-7977 | 2006-09-26 |
1134229149 | Patricia A Wallrich | Physician Assistant | 9394 Big Horn Blvd, Elk Grove, CA 95758-7977 | 2006-09-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982244208 | Obia Njoku | Nurse Practitioner | 9105 Bruceville Rd Ste 1a #580405, Elk Grove, CA 95758 | 2020-01-14 |
1992362362 | Kimberly Abrahamson | Student in an Organized Health Care Education/Training Program | 9412 Big Horn Dr #6, Elk Grove, CA 95758 | 2019-05-21 |
1447737333 | Elk Grove Rehab & Counseling Center | Counselor | 7807 Laguna Blvd., Suite 480, Elk Grove, CA 95758 | 2018-07-24 |
1114424579 | Arielle Mize | Dietitian, Registered | 8161 Sheldon Road, #103, Elk Grove, CA 95758 | 2018-04-11 |
1154822609 | Eston Garcia | Behavior Technician | 2366 Martime Drive, Elk Grove, CA 95758 | 2018-02-21 |
1912406364 | Nicole Torneros | Behavior Technician | 2336 Maritime Drive, Elk Grove, CA 95758 | 2018-02-12 |
1134628712 | Northern California Vasectomy | Family Medicine | 9045 Bruceville Rd Ste 100b, Elk Grove, CA 95758 | 2018-02-08 |
1083134399 | Uchechi Mbonu | Assisted Living Facility | 7019 Mcgill Court, Elk Grove, CA 95758 | 2017-06-27 |
1922557362 | Muhanad Aliakbar | Driver | 8275 Oakbriar Cir, Elk Grove, CA 95758 | 2016-09-27 |
1063868123 | Teresa Vinciguerra | Marriage & Family Therapist | 9412 Elk Horn Blvd, Suite 6, Elk Grove, CA 95758 | 2016-05-09 |
Find all providers in zip 95758 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558495937 | Dignity Health Medical Foundation | Clinic/Center | 7911 Laguna Blvd, Elk Grove, CA 95758-7920 | 2007-03-15 |
1174966071 | Regents of The University of California | Clinic/Center | 9390 Big Horn Blvd, Elk Grove, CA 95758-7978 | 2013-04-10 |
1336464551 | California Minute Clinic Inc | Clinic/Center | 9098 Laguna Main St, Suite 6, Elk Grove, CA 95758-7449 | 2010-03-31 |
1083694616 | Regents of The University of California | Clinic/Center | 8110 Laguna Blvd, Elk Grove, CA 95758-7904 | 2006-01-19 |
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1982211835 | Crossover Health Medical Group | Clinic/Center | 711 W 2nd St Ste A, San Bernardino, CA 92410-3262 | 2020-09-24 |
1982211843 | Crossover Health Medical Group | Clinic/Center | 5379 Hamner Ave Unit 801, Eastvale, CA 91752-1042 | 2020-09-24 |
1164039020 | Crossover Health Medical Group | Clinic/Center | 14329 Frederick St Ste 7-9, Moreno Valley, CA 92553-9003 | 2020-09-24 |
1104432673 | Aleracare Medical Group of California | Clinic/Center | 17777 Ventura Blvd Ste 220, Encino, CA 91316-3748 | 2020-09-21 |
1205447687 | Shawn Richard Oneill | Clinic/Center | 5979 Trotters Ln, Alta Loma, CA 91701-2644 | 2020-08-11 |
1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
1437767951 | Miro Health | Clinic/Center | 260 King St Unit 1505, San Francisco, CA 94107-6415 | 2020-07-21 |
1598383895 | Alacrity Patient Services, Inc. | Clinic/Center | 1002 N Hudson Ave Apt 1, Los Angeles, CA 90038-2595 | 2020-07-13 |
1306464979 | Aleracare Medical Group of California | Clinic/Center | 4849 Van Nuys Blvd Ste 220, Sherman Oaks, CA 91403-2155 | 2020-07-10 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.