PRIMARY CARE PHCY (NPI# 1275679797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275679797 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE PHCY |
| Other Organization Name | SACRAMENTO COUNTY HEALTH DEPARTMENT |
| Practice Address |
4600 Broadway Ste 1500 Sacramento CA 95820-1527 |
| Practice Telephone | 9168749220 |
| Practice Fax Number | 9168749409 |
| Mailing Telephone | 9168749220 |
| Mailing Fax Number | 9168749409 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2016-09-13 |
| Authorized Official Name | JOHN PAYNE (PHCY DIR) |
| Authorized Official Telephone | 9168749299 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
PHE46273 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA348160 | 05 | |
| PK | 2062396 | 01 |
| Other Name | Type Code |
|---|---|
| SACRAMENTO COUNTY HEALTH DEPARTMENT | Doing Business As Name - Organization |
| Street Address |
4600 BROADWAY STE 1500 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95820-1527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588669378 | Elaine M White | Nurse Practitioner | 4600 Broadway, Sacramento, CA 95820-1527 | 2005-06-17 |
| 1851908396 | Allyson Grieco | Registered Nurse | 4600 Broadway, Sacramento, CA 95820-1527 | 2020-09-29 |
| 1134741739 | Katherine Sanchez | Registered Nurse | 4600 Broadway, Sacramento, CA 95820-1527 | 2020-05-18 |
| 1124648225 | Sophia Parsh | Registered Nurse | 4600 Broadway, Sacramento, CA 95820-1527 | 2020-04-20 |
| 1073158135 | Dezirae Viduya | Registered Nurse | 4600 Broadway, Sacramento, CA 95820-1527 | 2019-11-13 |
| 1770134017 | Gloria Uchenna Belonwu | Registered Nurse | 4600 Broadway, Sacramento, CA 95820-1527 | 2019-09-27 |
| 1073163069 | Ailing Wei | Registered Nurse | 4600 Broadway, Sacramento, CA 95820-1527 | 2019-09-12 |
| 1972060150 | Krista Bruffett | Community Health Worker | 4600 Broadway, Sacramento, CA 95820-1527 | 2019-02-25 |
| 1083187736 | Maria Cassandra Reyes | Clinic/Center | 4600 Broadway, Sacramento, CA 95820-1527 | 2019-01-05 |
| 1801318027 | Christine Marie Randall Walker | Social Worker | 4600 Broadway, Sacramento, CA 95820-1527 | 2017-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676820 | Laraine K Koen | Student in an Organized Health Care Education/Training Program | 123 Brookshire Lane, Sacramento, CA 95820 | 2020-10-12 |
| 1730737727 | Vincent Tang | Student in an Organized Health Care Education/Training Program | 3230 Sher Court, Sacramento, CA 95820 | 2019-09-03 |
| 1871159897 | Lauren Smith | Student in an Organized Health Care Education/Training Program | Department of Pediatrics Uc Davis Children's Hospital, 3671 Business Dr. Suite #110, Sacramento, CA 95820 | 2019-05-15 |
| 1053899336 | Melissa Anne Jeffery | Community Health Worker | 4600 Broadway Suite 1300, Sacramento, CA 95820 | 2018-07-30 |
| 1841785284 | Chelsea Kirstin Acker | Student in an Organized Health Care Education/Training Program | 3671 Business Dr., Sacramento, CA 95820 | 2018-06-28 |
| 1770022667 | Shelly Valdez | Behavior Technician | 5520 Priscilla Ln, Sacramento, CA 95820 | 2017-02-13 |
| 1285184135 | Trang Thu Tran | Registered Nurse | 5385 Franklin Blvd Ste A-d, Sacramento, CA 95820 | 2016-10-04 |
| 1356716039 | Nicole Hisaka | Psychologist | 3651 Business Dr, Sacramento, CA 95820 | 2015-12-07 |
| 1538542469 | Universal Med Express, LLC | Non-emergency Medical Transport (VAN) | 3230 27th Ave, Sacramento, CA 95820 | 2015-07-09 |
| 1033507470 | Moua Yang | Case Manager/Care Coordinator | 7373 14th Ave, Suite 120-b, Sacramento, CA 95820 | 2015-01-08 |
| Find all providers in zip 95820 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821146630 | Kaiser Foundation Hospitals | Pharmacy | 2025 Morse Ave Fl 2, Sacramento, CA 95825-2115 | 2007-01-08 |
| 1972524924 | California State University, Sacramento | Pharmacy | 6000 J St Fl 1, The Well, Sacramento, CA 95819-2605 | 2006-07-22 |
| 1730237546 | Kaiser Foundation Health Plan Inc | Pharmacy | 2345 Fair Oaks Blvd, Sacramento, CA 95825-4708 | 2007-01-08 |
| 1659428985 | Kaiser Foundation Health Plan Inc | Pharmacy | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2007-01-05 |
| 1568519890 | Kaiser Foundation Health Plan Inc | Pharmacy | 3184 Arden Way, Sacramento, CA 95825-3701 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700491180 | Omni Family Health | Pharmacy | 4646 N. 1st Street, Fresno, CA 93726-0973 | 2020-09-11 |
| 1083240048 | Michael Anthony Abram | Pharmacy | 3240 Beck Rd, Lompoc, CA 93436-8301 | 2020-03-20 |
| 1043843428 | Community Medical Centers Inc | Pharmacy | 7912 West Lane, Ste. 221, Room 102, Stockton, CA 95210-3159 | 2020-02-13 |
| 1053968289 | California Institute for Men Phcy | Pharmacy | 14901 So Central Ave, Chino, CA 91710 | 2019-08-22 |
| 1447616198 | Beverly Hills Wellness Physicians Corp | Pharmacy | 1703 N Avalon Blvd, Wilmington, CA 90744-1432 | 2016-01-11 |
| 1700242419 | Pacific Rejuvination Medical A Professional Corp | Pharmacy | 7230 Medical Center Dr Ste 100, West Hills, CA 91307-4001 | 2016-01-11 |
| 1174923684 | Planned Parenthood Mar Monte, Inc. | Pharmacy | 1032 A Street, Hayward, CA 94541-4106 | 2014-09-03 |
| 1306263264 | University of Southern California | Pharmacy | 830 S Flower St, Los Angeles, CA 90017-4608 | 2014-03-27 |
| 1730428293 | Mission City Community Network Inc | Pharmacy | 8527 Sepulveda Blvd Ste 131, North Hills, CA 91343-5824 | 2013-02-04 |
| 1700158797 | Van Masteranna Billing Service, Inc | Pharmacy | 22631 Pacific Coast Hwy # 793, Malibu, CA 90265-5036 | 2012-02-06 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95820 |
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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.