PEACH TREE HEALTHCARE (NPI# 1164886040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164886040 |
Entity Type | Organization |
Organization Name | PEACH TREE HEALTHCARE |
Other Organization Name | PEACH TREE NORTH SACRAMENTO |
Practice Address |
3810 Rosin Ct Suite 100 Sacramento CA 95834-1656 |
Mailing Address |
1114 Yuba St Suite 144 Marysville CA 95901-4838 |
Practice Telephone | 5307416245 |
Practice Fax Number | 5307419274 |
Mailing Telephone | 5307416245 |
Mailing Fax Number | 5307419274 |
Enumeration Date | 2016-04-07 |
Last Update Date | 2017-07-19 |
Authorized Official Name | MR. GREG S STONE (CEO) |
Authorized Official Telephone | 5307416245 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
030000463 | CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | PTAN | 751916 | 01 |
Other Name | Type Code |
---|---|
Peach Tree North Sacramento | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295213296 | Peach Tree Healthcare | Dentist | 1275 Tharp Rd., Yuba City, CA 95993 | 2018-08-01 |
1235157967 | Peach Tree Healthcare | Physician Assistant | 724 5th St, Marysville, CA 95901-5646 | 2006-07-18 |
1922598226 | Peach Tree Healthcare | Clinic/Center | 120 Independence Cir, Chico, CA 95973-4925 | 2018-05-14 |
1831689223 | Peach Tree Healthcare | Clinic/Center | 6585 Clark Rd Ste 360, Paradise, CA 95969-3500 | 2018-05-11 |
1841723327 | Peach Tree Healthcare | Clinic/Center | 1275 Tharp Rd, Yuba City, CA 95993-2645 | 2017-04-11 |
1679026884 | Peach Tree Healthcare | Pediatrics | 481 Plumas Blvd, Suite 101, Yuba City, CA 95991-5075 | 2016-07-25 |
1952761488 | Peach Tree Healthcare | Family Medicine | 3911 Norwood Ave, Sacramento, CA 95838-3361 | 2016-02-25 |
1346619582 | Peach Tree Healthcare | Clinic/Center | 1900 T St, Sacramento, CA 95811-6822 | 2015-09-17 |
1619361730 | Peach Tree Healthcare | Nurse Practitioner | 1900 T St, Sacramento, CA 95811-6822 | 2015-03-26 |
1184915092 | Peach Tree Healthcare | Social Worker | 1445 Veterans Memorial Cir, Ste B, Yuba City, CA 95993-3011 | 2011-04-26 |
Street Address |
3810 ROSIN CT SUITE 100 |
City | SACRAMENTO |
State | CA |
Zip Code | 95834-1656 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528667052 | Safiya Catherine Pinkston-ojelade | Counselor | 3810 Rosin Ct, Sacramento, CA 95834-1656 | 2020-10-26 |
1265066369 | Ruth Vanessa Segura Alvarenga | Case Manager/Care Coordinator | 3810 Rosin Ct, Sacramento, CA 95834-1656 | 2020-02-27 |
1255974333 | Sebastian Gonzalez | Case Manager/Care Coordinator | 3810 Rosin Ct, Sacramento, CA 95834-1656 | 2019-10-22 |
1407405780 | Mai Lor | Case Manager/Care Coordinator | 3810 Rosin Ct, Sacramento, CA 95834-1656 | 2019-09-09 |
1508412495 | Molene Henderson | Counselor | 3810 Rosin Ct, Sacramento, CA 95834-1656 | 2019-08-15 |
1265999122 | Lonie Sanders | Case Manager/Care Coordinator | 3810 Rosin Ct, Sacramento, CA 95834-1656 | 2019-02-27 |
1003386541 | Alena Kuzmenko | Student in an Organized Health Care Education/Training Program | 3810 Rosin Ct, Sacramento, CA 95834-1656 | 2018-11-27 |
1538641402 | Tamara Boone | Case Manager/Care Coordinator | 3810 Rosin Ct, Sacramento, CA 95834-1656 | 2018-09-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871085209 | Yen T Tran | Student in an Organized Health Care Education/Training Program | 3810 Rosin Ct Suite 170, Sacramento, CA 95834 | 2018-06-01 |
1326557620 | Mariah N Calpo | Registered Nurse | 601 North Market, Sacramento, CA 95834 | 2017-09-29 |
1710400700 | Rose Medical Transportation | Driver | 4330 Natomas Central Dr, Sacramento, CA 95834 | 2017-07-20 |
1801319066 | Caitlin Janae Lluen | Physical Medicine & Rehabilitation | 1948 Del Paso Road Suite 135, Sacramento, CA 95834 | 2017-07-19 |
1083152169 | Irene Enriquez Ramos | Social Worker | 3627 Broadland Street, Sacramento, CA 95834 | 2017-02-08 |
1609322973 | Zachary Estrada | Student in an Organized Health Care Education/Training Program | 3780 Rosic Court, Ste 130, Sacramento, CA 95834 | 2016-08-28 |
1104287465 | Mark David Levine, Mbr | Psychiatry & Neurology | 3835 N. Freeway Blvd., Suite 100, Sacramento, CA 95834 | 2016-03-15 |
1376902767 | Peter Yang | Case Manager/Care Coordinator | 3870 Rosin Court Ste 130, Sacramento, CA 95834 | 2016-02-15 |
1346615739 | Renee Joyce Eckley Reinhardt | Nurse Practitioner | 4100 E Commerce Way Suite 100, Sacramento, CA 95834 | 2015-12-10 |
1558779454 | Hanh Tran I | Pharmacist | 3769 Broadland St, Sacramento, CA 95834 | 2014-07-24 |
Find all providers in zip 95834 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265059182 | Elica Health Centers | Clinic/Center | 77 Cadillac Dr Ste 200, Sacramento, CA 95825-8337 | 2020-06-26 |
1508487653 | Health and Life Organization, Inc. (h.a.l.o.) | Clinic/Center | 7215 55th St Ste B, Sacramento, CA 95823-2601 | 2020-04-29 |
1720546724 | Wellspace Health | Clinic/Center | 4241 Florin Rd Ste 30, Sacramento, CA 95823-2535 | 2019-03-08 |
1073077616 | Cares Community Health | Clinic/Center | 815 S St, Sacramento, CA 95811-7064 | 2019-01-28 |
1982114492 | Cares Community Health | Clinic/Center | 1442 Ethan Way Ste 100, Sacramento, CA 95825-2232 | 2017-10-10 |
1548705874 | Elica Health Centers | Clinic/Center | 752 Revere St Unit B, Sacramento, CA 95818-2073 | 2016-12-22 |
1063965952 | Health for All - Revere Clinic | Clinic/Center | 752 Revere St, Unit B, Sacramento, CA 95818-2073 | 2016-07-27 |
1740660703 | Elica Health Centers | Clinic/Center | 1750 Wright St Ste 1, Sacramento, CA 95825-4041 | 2015-06-04 |
1104210608 | Wellspace Health | Clinic/Center | 3535 65th St, Suite C, Sacramento, CA 95820-2057 | 2015-03-23 |
1508284407 | Health for All - Administration | Clinic/Center | 420 I Street, Suite 7, Sacramento, CA 95814-2319 | 2014-03-29 |
Find all providers in SACRAMENTO |
City | SACRAMENTO |
Zip Code | 95834 |
Please comment or provide details below to improve the information on PEACH TREE HEALTHCARE.
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.