MPL GROUP, LLC (NPI# 1528427804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528427804 |
| Entity Type | Organization |
| Organization Name | MPL GROUP, LLC |
| Other Organization Name | MPL GROUP'S GETWELLNESS CENTER |
| Practice Address |
7601 Sunrise Blvd. Suite 8 Citrus Heights CA 95610 |
| Mailing Address |
7601 Sunrise Blvd Suite 8 Citrus Heights CA 95610 |
| Practice Telephone | 9167216566 |
| Mailing Telephone | 9167216566 |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-02-16 |
| Authorized Official Name | MR. MICHAEL POTTER (PRESIDENT/CONSULT) |
| Authorized Official Telephone | 9167216566 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | RN60585022 | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MPL Group's Getwellness Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | MPL GROUP, LLC | 47 Greenway Lane, Rye Brook, NY 10573 |
| Street Address |
7601 SUNRISE BLVD. SUITE 8 |
| City | CITRUS HEIGHTS |
| State | CA |
| Zip Code | 95610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326682113 | Gregory Dilts | Behavior Technician | 5620 Birdcage Street, 230, Citrus Heights, CA 95610 | 2019-11-04 |
| 1831684059 | Omara Sin | Behavior Technician | 5620 Birdcage Street, Suite 230, Citrus Heights, CA 95610 | 2018-06-29 |
| 1851788327 | L.kravchuk Dental Corporation | Dentist | 6240 San Juan Ave, Suite#f, Citrus Heights, CA 95610 | 2015-04-22 |
| 1093152035 | Lynda Louise Dickerson | Marriage & Family Therapist | 5750 Sunrise Blvd., Citrus Heights, CA 95610 | 2013-05-31 |
| 1346582640 | Vista Child Therapy LLC | Physical Therapist | 7579 Old Auburn Road, Citrus Heights, CA 95610 | 2013-03-25 |
| 1982954475 | Exam Collections and Testing Services LLC | Health Maintenance Organization | 6060 Sunrise Vista Dr Ste 1975, Citrus Heights, CA 95610 | 2012-09-12 |
| 1235486168 | Adam Olives | Behavioral Analyst | 5750 Sunrise Blvd Ste 210b, Citrus Heights, CA 95610 | 2012-08-09 |
| 1245598598 | William S. Fastiggi | Veterinarian | 7484 Sunrise Blvd, Citrus Heights, CA 95610 | 2012-04-24 |
| 1295023679 | The Living Water | Residential Treatment Facility, Physical Disabilities | 7504 Chipmunk Way, Citrus Heights, CA 95610 | 2011-07-19 |
| 1992019699 | Suzan L Bonzo | Behavioral Analyst | 5620 Birdcage St Ste 230, Citrus Heights, CA 95610 | 2010-08-05 |
| Find all providers in zip 95610 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | CITRUS HEIGHTS |
| Zip Code | 95610 |
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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.