PEACH TREE HEALTHCARE


Address: 3810 Rosin Ct, Suite 100, Sacramento, CA 95834-1656
Phone: 5307416245

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
CA PTAN 751916 01

Other Provider/Organization Names

Other Name Type Code
Peach Tree North Sacramento Other Name - Individual/Organization

Other Provider IDs and Locations

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

Office Location

Street Address 3810 ROSIN CT
SUITE 100
City SACRAMENTO
State CA
Zip Code 95834-1656

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City SACRAMENTO
Zip Code 95834

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Dataset Information

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.

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