MEDMARK TREATMENT CENTERS - SACRAMENTO INC (NPI# 1255419172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255419172 |
| Entity Type | Organization |
| Organization Name | MEDMARK TREATMENT CENTERS - SACRAMENTO INC |
| Practice Address |
7240 E Southgate Dr Suite G Sacramento CA 95823-2627 |
| Mailing Address |
1720 Lakepointe Dr Ste 117 Lewisville TX 75057-6425 |
| Practice Telephone | 9163914293 |
| Practice Fax Number | 9163914247 |
| Mailing Telephone | 2143793300 |
| Mailing Fax Number | 2143793324 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-05-01 |
| Authorized Official Name | BOND ANDREWS (VP, REVENUE CYCLE MANAGEMENT) |
| Authorized Official Telephone | 2143793398 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDMARK SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
34-09 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL | 9390237 | 01 |
| CA | OTP LICENSE | 34-09 | 01 |
| Street Address |
7240 E SOUTHGATE DR SUITE G |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823-2627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447242516 | Tam Hoang Nguyen | Pharmacist | 7240 E Southgate Dr, Suite # A, Sacramento, CA 95823-2627 | 2005-08-16 |
| 1891264867 | Robin Michelle Keller | Counselor | 7240 E Southgate Dr, Sacramento, CA 95823-2627 | 2018-11-19 |
| 1386175669 | Paul Gill | Counselor | 7240 E Southgate Dr, Sacramento, CA 95823-2627 | 2017-03-27 |
| 1033656319 | Jerold Arthur Hassel | Counselor | 7240 E Southgate Dr, Suite G, Sacramento, CA 95823-2627 | 2017-01-25 |
| 1518313527 | Frank Vang | Counselor | 7240 E Southgate Dr, Sacramento, CA 95823-2627 | 2016-05-09 |
| 1235503251 | Maydy Lo | Counselor | 7240 E Southgate Dr, Sacramento, CA 95823-2627 | 2015-11-16 |
| 1306213236 | Mackenzie Dee Gish | Case Manager/Care Coordinator | 7240 E Southgate Dr, Suite G, Sacramento, CA 95823-2627 | 2015-08-26 |
| 1306212576 | Nai Fow Saephan | Counselor | 7240 E Southgate Dr, Sacramento, CA 95823-2627 | 2015-08-11 |
| 1285023630 | Jeffrey Lo | Counselor | 7240 E Southgate Dr, Sacramento, CA 95823-2627 | 2015-01-22 |
| 1932504065 | Salvador Cruz X | Counselor | 7240 E Southgate Dr, Sacramento, CA 95823-2627 | 2014-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343422 | Renee Yvonne Friesner | Registered Nurse | 6965 65th Street, Sacramento, CA 95823 | 2020-10-12 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1114562766 | Daniel & Max, LLC | Optometrist | 4200 Florin Road, Suite C, Florin, CA 95823 | 2019-11-07 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1306316880 | Evin Johnson | Case Manager/Care Coordinator | 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 | 2018-11-28 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1891298923 | Nicholas Joseph Henderson | Behavior Technician | 6500 47th Street Apt#76, Sacramento, CA 95823 | 2018-03-15 |
| 1427567098 | Luz Maria Udave | Behavior Technician | 5435 Mack Rd Apt 87, Sacramento, CA 95823 | 2017-09-26 |
| 1417474743 | Elizabeth Smithers | Behavior Technician | 5545 Sky Parkway #202, Sacramento, CA 95823 | 2017-08-28 |
| Find all providers in zip 95823 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023657327 | Treatment Associates, Inc | Clinic/Center | 7225 E Southgate Dr, Sacramento, CA 95823-2652 | 2020-01-03 |
| 1326283706 | C.o.r.e. Medical Clinic, Inc. | Clinic/Center | 2100 Capitol Ave, Sacramento, CA 95816-5721 | 2008-12-12 |
| 1831109735 | Treatment Associates, Inc. | Clinic/Center | 7225 E Southgate Dr, Sacramento, CA 95823-2620 | 2006-08-09 |
| 1174544092 | Bi-valley Medical Clinic Inc | Clinic/Center | 310 Harris Ave, Suite A, E, F, G, Sacramento, CA 95838-3249 | 2006-07-23 |
| 1609897529 | Bi-valley Medical Clinic, Inc. | Clinic/Center | 2100 Capitol Ave, Sacramento, CA 95816-5721 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083224141 | Aegis Treatment Centers, LLC | Clinic/Center | 1450 Bessie Ave Ste B, Tracy, CA 95376-3456 | 2020-08-04 |
| 1093323222 | City and County of San Francisco | Clinic/Center | 1001 Potrero Ave # Ward86, San Francisco, CA 94110-3518 | 2020-07-14 |
| 1548899644 | Bella Team Ltd. | Clinic/Center | 2618 San Miguel Dr Ste 1288, Newport Beach, CA 92660-5437 | 2020-04-02 |
| 1386280899 | Western Pacific Med-corp | Clinic/Center | 26921 Crown Valley Pkwy Ste 200, Mission Viejo, CA 92691-6501 | 2019-11-19 |
| 1518501527 | Harmonic Solutions LLC | Clinic/Center | 1776 Ygnacio Valley Rd Ste 206, Walnut Creek, CA 94598-3125 | 2019-11-01 |
| 1326698887 | Aegis Treatment Centers, LLC | Clinic/Center | 2107, 2109 & 2113 1st St, Eureka, CA 95501-0840 | 2019-09-17 |
| 1548819550 | Aegis Treatment Centers, LLC | Clinic/Center | 1111 W Inyokern Rd Ste B, Ridgecrest, CA 93555-2370 | 2019-09-11 |
| 1306326699 | Kristen Andree Rickard | Clinic/Center | 1153 Paradise Trail Rd, Chula Vista, CA 91915-2502 | 2018-08-16 |
| 1083141600 | Baart Behavioral Health Services, Inc. | Clinic/Center | 1145 Market St Fl 10, San Francisco, CA 94103-1566 | 2017-05-13 |
| 1013448547 | Coachella Valley Treatment Center | Clinic/Center | 81709 Dr Carreon Blvd Ste B1, Indio, CA 92201-5510 | 2017-03-26 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
Please comment or provide details below to improve the information on MEDMARK TREATMENT CENTERS - SACRAMENTO INC.
| 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.