PEACH TREE HEALTHCARE (NPI# 1346619582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346619582 |
| Entity Type | Organization |
| Organization Name | PEACH TREE HEALTHCARE |
| Other Organization Name | PEACHTREE MIDTOWN |
| Practice Address |
1900 T St Sacramento CA 95811-6822 |
| Mailing Address |
1114 Yuba St Suite 144 Marysville CA 95901-4838 |
| Practice Telephone | 9167177925 |
| Practice Fax Number | 9164475154 |
| Mailing Telephone | 5307416245 |
| Mailing Fax Number | 5307419274 |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |
| 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 |
| Other Name | Type Code |
|---|---|
| Peachtree Midtown | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295213296 | Peach Tree Healthcare | Dentist | 1275 Tharp Rd., Yuba City, CA 95993 | 2018-08-01 |
| 1164886040 | Peach Tree Healthcare | Clinic/Center | 3810 Rosin Ct, Suite 100, Sacramento, CA 95834-1656 | 2016-04-07 |
| 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 |
| 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 |
1900 T ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95811-6822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982649430 | The Center for Community Health & Well Being Inc | Clinic/Center | 1900 T St, Sacramento, CA 95811-6822 | 2006-06-18 |
| 1316333453 | Madeline Nguyen | Family Medicine | 1900 T St, Sacramento, CA 95811-6822 | 2015-04-15 |
| 1619361730 | Peach Tree Healthcare | Nurse Practitioner | 1900 T St, Sacramento, CA 95811-6822 | 2015-03-26 |
| 1376953216 | Kamisha Greene Dillard | Nurse Practitioner | 1900 T St, Sacramento, CA 95811-6822 | 2014-04-30 |
| 1588977201 | Maria Isabel Fontanoza Rivera | Nurse Practitioner | 1900 T St, Sacramento, CA 95811-6822 | 2010-07-22 |
| 1235465501 | Beatrice K Dube | Nurse Practitioner | 1900 T St, Sacramento, CA 95811-6822 | 2009-10-21 |
| 1538333513 | Medy Cruz Podliska | Nurse Practitioner | 1900 T St, Sacramento, CA 95811-6822 | 2008-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891190 | Teresa Sy | Behavior Technician | 610 Bercut Dr. Suite B, Sacramento, CA 95811 | 2018-12-03 |
| 1669948212 | Micaela Badue | Counselor | 401 S St., Sacramento, CA 95811 | 2018-10-22 |
| 1669956801 | Andrea Martinez | Counselor | 600 Bercut Dr., Sacramento, CA 95811 | 2018-09-24 |
| 1174000855 | Clinicians Connect Care Home Health & Hospice Services | Home Health | 716 19th Street, Suite 200, Sacramento, CA 95811 | 2018-07-25 |
| 1992202345 | Benjamin James Leibold | Behavior Technician | 610 Bercut Drive, Suite B, Sacramento, CA 95811 | 2018-04-11 |
| 1669979233 | Aja Jones | Counselor | 401 S Street, Sacramento, CA 95811 | 2018-04-10 |
| 1821511916 | Lucas John Monaco | Counselor | 1400 North 'a' Street, Bldg A, Sacramento, CA 95811 | 2017-07-20 |
| 1275089963 | Sergio Vicuna, D.d.s., Inc | Dentist | 1804 19th St, Suite 100, Sacramento, CA 95811 | 2016-09-01 |
| 1386057495 | Chelsea Turner | Counselor | 600 Bercut Drive, Sacramento, CA 95811 | 2014-06-05 |
| 1427473636 | Sidney Caldwell | Counselor | 401 S Street Sacramento, Sacramento, CA 95811 | 2014-02-25 |
| Find all providers in zip 95811 | ||||
| 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 |
| 1164886040 | Peach Tree Healthcare | Clinic/Center | 3810 Rosin Ct, Suite 100, Sacramento, CA 95834-1656 | 2016-04-07 |
| 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 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95811 |
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.