MOLINA HEALTHCARE OF CALIFORNIA (NPI# 1194930545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194930545 |
| Entity Type | Organization |
| Organization Name | MOLINA HEALTHCARE OF CALIFORNIA |
| Practice Address |
Molina Medical Centers - Smo 3946 Norwood Avenue Sacramento CA 95838-3300 |
| Mailing Address |
Molina Medical Centers - Smo One Golden Shore Long Beach CA 90802-4202 |
| Practice Telephone | 9165640521 |
| Practice Fax Number | 8778602907 |
| Mailing Telephone | 5624996191 |
| Mailing Fax Number | 5624996171 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2017-12-06 |
| Authorized Official Name | MATTHEW SCHUEREN (V.P. FINANCE) |
| Authorized Official Telephone | 8885625442 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR004265Q | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376843334 | Molina Healthcare of California | Pediatrics | 790 E. Foothill Blvd, Rialto, CA 92376 | 2010-10-25 |
| 1588964548 | Molina Healthcare of California | Pediatrics | 790 E. Foothill Blvd, Suite D, Rialto, CA 92376-5269 | 2010-10-25 |
| 1477860187 | Molina Healthcare of California | Family Medicine | 170 East Highland Ave, San Bernardino, CA 92404-3658 | 2010-09-02 |
| 1932214228 | Molina Healthcare of California | Internal Medicine | 887 E Second St, Pomona, CA 91766-2009 | 2006-08-20 |
| 1669586020 | Molina Healthcare of California | Internal Medicine | 540 E Artesia Bl, Long Beach, CA 90805-1476 | 2006-08-19 |
| 1497869887 | Molina Healthcare of California | Family Medicine | 445 E. Anaheim St, Wilmington, CA 90744-4600 | 2006-08-19 |
| 1750663191 | Molina Healthcare of California | Pediatrics | 5549 Van Buren Blvd, Riverside, CA 92503-2068 | 2011-09-12 |
| 1295035251 | Molina Healthcare of California | Internal Medicine | 24853 Alessandro Blvd, Moreno Valley, CA 92553-6102 | 2010-10-25 |
| 1952516288 | Molina Healthcare of California | Non-Pharmacy Dispensing Site | Molina Medical Centers - Smo, 954 Sacramento Avenue, W. Sacramento, CA 95605-1904 | 2007-05-11 |
| 1679788020 | Molina Healthcare of California | Non-Pharmacy Dispensing Site | Molina Medical Centers - Smo, 7215 55th Street, Sacramento, CA 95823-2601 | 2007-05-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | MOLINA HEALTHCARE OF CALIFORNIA, INC. | 200 Oceangate, Suite 100, Long Beach, CA 90802 |
| Street Address |
MOLINA MEDICAL CENTERS - SMO 3946 NORWOOD AVENUE |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95838-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679788020 | Molina Healthcare of California | Non-Pharmacy Dispensing Site | Molina Medical Centers - Smo, 7215 55th Street, Sacramento, CA 95823-2601 | 2007-05-11 |
| 1588879936 | Molina Healthcare of California | Non-Pharmacy Dispensing Site | Molina Medical Centers - Smo, 3946 Norwood Avenue, Sacramento, CA 95838-3300 | 2007-05-11 |
| 1295940641 | Molina Healthcare of California | Non-Pharmacy Dispensing Site | Molina Medical Centers - Smo, 7215 55th Street, Sacramento, CA 95823-2601 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467898106 | Reset Youth Treatment Enterprises | Clinic/Center | 3725 Marysville Boulevard, Suite 337, Sacramento, CA 95838 | 2013-05-21 |
| 1508193996 | Associated Medical Transport | Non-emergency Medical Transport (VAN) | 181 Grace Avenue, Sacramento, CA 95838 | 2009-11-05 |
| 1619131828 | Charlene Sashington | Counselor | 310 Harris Avenue, Ste A, Sacramento, CA 95838 | 2008-07-16 |
| 1164694451 | Jerry Lee Hull | Counselor | 310 Harris Avenue Suite A, Sacramento, CA 95838 | 2008-03-27 |
| 1831361294 | Diane Yvonne Dickinson | Counselor | 310 Harris Avenue, Suite A, Sacramento, CA 95838 | 2008-03-26 |
| 1629131073 | Ernesto S Orendain | Chiropractor | 3901 Norwood Ave, Suite A, Sacramento, CA 95838 | 2006-12-18 |
| 1518033901 | Cynthia Max-wright | Marriage & Family Therapist | 395 Performance Dr, Ste G, Sacramento, CA 95838 | 2006-11-28 |
| 1134185333 | Lu Saelee | Counselor | 310 Harris Avenue, Suite A, Sacramento, CA 95838 | 2006-04-25 |
| 1669438008 | Ming-huei Wu | Registered Nurse | 3950 Research Drive, Sacramento, CA 95838 | 2006-04-25 |
| 1366439358 | Kci Usa, Inc. | Durable Medical Equipment & Medical Supplies | 3951 Performance Dr, Ste H, Sacramento, CA 95838 | 2005-10-04 |
| Find all providers in zip 95838 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023638327 | Fast Medical Care LLC | Family Medicine | 342 Main Ave, Sacramento, CA 95838-2063 | 2020-04-16 |
| 1386275246 | Zsm Medical Services Inc | Family Medicine | 8 Cain Ct, Sacramento, CA 95834-1067 | 2020-01-30 |
| 1083265565 | Rajwinder Kaur | Family Medicine | 11 Poinsettia Ct, Sacramento, CA 95838-2282 | 2019-09-25 |
| 1629630314 | Archway Health Care Services Inc | Family Medicine | 8950 Cal Center Dr Ste 112, Sacramento, CA 95826-3236 | 2019-07-02 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1487186334 | Emilie Dempsey | Family Medicine | 2801 27th St, Sacramento, CA 95818-3221 | 2017-03-30 |
| 1396198958 | River City Medical Group Inc | Family Medicine | 7311 Greenhaven Dr, Suite 145, Sacramento, CA 95831-3572 | 2016-07-19 |
| 1215382197 | Manpreet Kaur Gill | Family Medicine | 3308 El Camino Ave # 300-434, Sacramento, CA 95821-6327 | 2016-04-28 |
| 1457764235 | Sharndeep Kaur Bains | Family Medicine | 10470 Old Placerville Road, Ste 100, Sacramento, CA 95827-2539 | 2014-06-09 |
| 1346650306 | Queena Dai | Family Medicine | 1201 Alhambra Blvd Ste 230, Sacramento, CA 95816-5241 | 2014-04-30 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95838 |
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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.