DIGNITY HEALTH MEDICAL FOUNDATION (NPI# 1487950523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487950523 |
Entity Type | Organization |
Organization Name | DIGNITY HEALTH MEDICAL FOUNDATION |
Other Organization Name | DIGNITY HEALTH MEDICAL GROUP - MERCED, A SERVICE OF DIGNITY HEALTH MED |
Practice Address |
315 Mercy Ave Ste 400 Merced CA 95340-8368 |
Mailing Address |
Po Box 742528 Los Angeles CA 90074-2528 |
Practice Telephone | 2095643700 |
Practice Fax Number | 2095643799 |
Mailing Telephone | 9167335701 |
Mailing Fax Number | 9168591671 |
Enumeration Date | 2011-02-08 |
Last Update Date | 2015-04-15 |
Authorized Official Name | GEORGE LENZI (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 9168512559 |
Is Organization Subpart | Y |
Parent Organization Name | DIGNITY HEALTH MEDICAL FOUNDATION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Dignity Health Medical Group - Merced, a service of Dignity Health Med | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710129275 | Dignity Health Medical Foundation | Clinic/Center | 105 Dean Way, Folsom, CA 95630-2801 | 2009-03-30 |
1447492905 | Dignity Health Medical Foundation | Clinic/Center | 6060 Watt Ave, North Highlands, CA 95660-4212 | 2009-03-30 |
1366684821 | Dignity Health Medical Foundation | Clinic/Center | 10487 White Rock Rd, Rancho Cordova, CA 95670-5530 | 2009-03-30 |
1558495937 | Dignity Health Medical Foundation | Clinic/Center | 7911 Laguna Blvd, Elk Grove, CA 95758-7920 | 2007-03-15 |
1780226852 | Dignity Health Medical Foundation | Clinic/Center | 17051 Sierra Lakes Pkwy Ste 101, Fontana, CA 92336-1274 | 2019-10-10 |
1568989200 | Dignity Health Medical Foundation | Clinic/Center | 3400 Data Dr, Rancho Cordova, CA 95670-7956 | 2017-08-24 |
1477074474 | Dignity Health Medical Foundation | Clinic/Center | 3400 Data Dr, Rancho Cordova, CA 95670-7956 | 2017-06-29 |
1679019798 | Dignity Health Medical Foundation | Clinic/Center | 6615 Valley Hi Dr, Sacramento, CA 95823-7076 | 2017-01-12 |
1508222647 | Dignity Health Medical Foundation | Clinic/Center | 18406 Roscoe Blvd, Northridge, CA 91325-4107 | 2016-01-05 |
1376926527 | Dignity Health Medical Foundation | Clinic/Center | 17051 Sierra Lakes Pkwy, Suite 101, Fontana, CA 92336-1274 | 2015-07-07 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | DIGNITY HEALTH MEDICAL FOUNDATION | 3400 Data Dr, Rancho Cordova, CA 95670-7956 |
Street Address |
315 MERCY AVE STE 400 |
City | MERCED |
State | CA |
Zip Code | 95340-8368 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710092481 | Robert J Butler | Internal Medicine | 315 Mercy Ave Ste 400, Merced, CA 95340-8368 | 2006-08-20 |
1194358309 | Varinder Kumar Sablok | Nurse Practitioner | 315 Mercy Ave Ste 400, Merced, CA 95340-8368 | 2020-02-16 |
1346635430 | Kenia Imani Edwards | Family Medicine | 315 Mercy Ave Ste 400, Merced, CA 95340-8368 | 2015-04-06 |
1760747398 | Nadir Edmon Adam | Surgery | 315 Mercy Ave Ste 400, Merced, CA 95340-8368 | 2012-07-10 |
1699929042 | Julianah Adenike Olabode | Nurse Practitioner | 315 Mercy Ave Ste 400, Merced, CA 95340-8368 | 2008-11-12 |
1093979205 | Ibrahim W Azer | Surgery | 315 Mercy Ave Ste 400, Merced, CA 95340 | 2008-07-16 |
1801089727 | Roderick Edward Harris | Urology | 315 Mercy Ave Ste 400, Merced, CA 95340-8368 | 2007-08-23 |
1649382698 | Dinesh Chhaganlal | Family Medicine | 315 Mercy Ave Ste 400, Merced, CA 95340 | 2006-08-31 |
1770693137 | Joanne Francis Spalding | Family Medicine | 315 Mercy Ave Ste 400, Merced, CA 95340-8368 | 2006-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063045706 | Pharmedquest Pharmacy Services | Pharmacy | 3940 Sandpiper Avenue, Pharmacy 181, Merced, CA 95340 | 2020-02-21 |
1548809668 | Michelle Melara | Behavior Technician | 3313 G Street, Suite B, Merced, CA 95340 | 2020-01-06 |
1417593070 | Emilio Jose Guzman | Behavior Technician | Autism Learning Partners 3313 G. Street, Suite B, Merced, CA 95340 | 2019-11-19 |
1477106383 | Anita Leigh Johnson | Nurse Practitioner | 3349 G Street, Suite C Bldg. K, El Portal Plaza, Merced, CA 95340 | 2019-07-19 |
1609439470 | Bobby Shan | Student in an Organized Health Care Education/Training Program | Mercy Medical Center Merced, 315 Mercy Avenue, Ste. 301, Merced, CA 95340 | 2019-04-17 |
1508333253 | Golden Valley Health Center | Clinic/Center | 3940 Sandpiper Ave., Merced, CA 95340 | 2018-10-31 |
1386136430 | Valley River Orthopedics and Sports Medicine | Orthopaedic Surgery | Valley River Orthopedics & Sports Medicine Inc, 3329 G St Ste A, Merced, CA 95340 | 2018-06-05 |
1841702271 | Tou Chang | Pharmacist | 3350 G Street, Merced, CA 95340 | 2017-10-25 |
1154842466 | Miller and Skinner Dental Corporation | Dentist | 560 W. 26th St., Merced, CA 95340 | 2017-06-28 |
1053859314 | Creative Alternatives, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2025 E. Santa Fe Dr., Merced, CA 95340 | 2017-02-07 |
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Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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---|---|---|---|---|
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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.