ELICA HEALTH CENTERS


Address: 752 Revere St Unit B, Sacramento, CA 95818-2073
Phone: 8553542242

ELICA HEALTH CENTERS (NPI# 1548705874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548705874
Entity Type Organization
Organization Name ELICA HEALTH CENTERS
Other Organization Name ELICA HEALTH CENTERS - REVERE MEDICAL CENTER
Practice Address 752 Revere St Unit B
Sacramento
CA 95818-2073
Mailing Address 1860 Howe Ave Ste 440
Sacramento
CA 95825-1098
Practice Telephone 8553542242
Practice Fax Number 9168903828
Mailing Telephone 9165698484
Mailing Fax Number 9162562214
Enumeration Date 2016-12-22
Last Update Date 2019-08-14
Authorized Official Name TATYANA BAK (CEO)
Authorized Official Telephone 9165698484
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDICARE PART B CB101A 01

Other Provider/Organization Names

Other Name Type Code
Elica Health Centers - Revere Medical Center Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1265059182 Elica Health Centers Clinic/Center 77 Cadillac Dr Ste 200, Sacramento, CA 95825-8337 2020-06-26
1740660703 Elica Health Centers Clinic/Center 1750 Wright St Ste 1, Sacramento, CA 95825-4041 2015-06-04
1548425853 Elica Health Centers Clinic/Center 155 15th St Ste A, West Sacramento, CA 95691-3737 2008-07-25
1366051120 Elica Health Centers Clinic/Center 4815 Watt Ave, North Highlands, CA 95660-5108 2020-07-28
1366068553 Elica Health Centers Clinic/Center 1276 Halyard Dr, West Sacramento, CA 95691-3412 2020-06-23
1154947711 Elica Health Centers Clinic/Center 6339 Mack Rd, Sacramento, CA 95823-4655 2020-06-19
1760013494 Elica Health Centers Clinic/Center 1276 Halyard Dr, West Sacramento, CA 95691-3412 2020-01-31
1851893077 Elica Health Centers Clinic/Center 5708 Watt Avenue, North Highlands, CA 95660 2018-03-03
1205341336 Elica Health Centers Clinic/Center 1276 Halyard Dr, West Sacramento, CA 95691-3412 2017-12-12
1730693805 Elica Health Centers Clinic/Center 1276 Halyard Dr, West Sacramento, CA 95691-3412 2017-11-27

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities ELICA HEALTH CENTERS 155 15th St, West Sacramento, CA 95691-3737

Office Location

Street Address 752 REVERE ST UNIT B
City SACRAMENTO
State CA
Zip Code 95818-2073

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780206557 Ten Acres Pharmacy Pharmacy 2930 Freeport Blvd, Sacramento, CA 95818 2020-05-14
1467928200 Safeway Inc Durable Medical Equipment & Medical Supplies 3680 Crocker Dr, Ste 100, Sacramento, CA 95818 2018-10-19
1295254084 Family Business Ventures LLC In Home Supportive Care 2026 X Street, Sacramento, CA 95818 2017-09-13
1932656550 Roshelle Chan Student in an Organized Health Care Education/Training Program 1964 36th Street, Sacramento, CA 95818 2016-09-01
1144692724 Ivyridge Assisted Living Assisted Living Facility 2030 23 Rd Street, Sacramento, CA 95818 2015-10-22
1255672788 Kimberly Ann Delaney Speech-Language Pathologist 2741 Riverside Blvd Ste 2, Sacramento, CA 95818 2013-03-07
1285985473 Salatha Helton Marriage & Family Therapist 3067 Freeport Blvd Ste 8, Sacramento, CA 95818 2012-09-27
1508976382 Victoria M Sarantopulos Marriage & Family Therapist 2015 21st St Suite 304, Sacramento, CA 95818 2006-08-30
1871986638 Connected Speech Therapy, Inc. Speech-Language Pathologist 2741 Riverside Blvd Ste 2, Sacramento, CA 95818 2015-03-18
1851640965 Chris Arbabian Chiropractor 2716 V Street, Sacramento, CA 95818 2012-09-05
Find all providers in zip 95818

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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
1508284407 Health for All - Administration Clinic/Center 420 I Street, Suite 7, Sacramento, CA 95814-2319 2014-03-29
Find all providers in SACRAMENTO

Competitor

Search similar providers

City SACRAMENTO
Zip Code 95818

Improve Information

Please comment or provide details below to improve the information on ELICA HEALTH CENTERS.

Dataset Information

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.

Trending Searches