BI-VALLEY MEDICAL CLINIC, INC. (NPI# 1609897529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609897529 |
| Entity Type | Organization |
| Organization Name | BI-VALLEY MEDICAL CLINIC, INC. |
| Practice Address |
2100 Capitol Ave Sacramento CA 95816-5721 |
| Mailing Address |
1720 Lakepointe Dr Ste 117 Lewisville TX 75057-6425 |
| Practice Telephone | 9164424985 |
| Practice Fax Number | 9164421029 |
| Mailing Telephone | 1437933002 |
| Mailing Fax Number | 2148539018 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-07-14 |
| Authorized Official Name | BOND ANDREWS (VP, REVENUE CYCLE MANAGEMENT) |
| Authorized Official Telephone | 2143793398 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
34-03 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | GR0004550 | 01 |
| CA | DEA | PB0173269 | 01 |
| CA | MEDI-CAL | CMM70096F | 01 |
| Street Address |
2100 CAPITOL AVE |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-5721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932190022 | Jennifer Pontz Slocum | Nurse Practitioner | 2100 Capitol Ave, Sacramento, CA 95816-5721 | 2005-10-29 |
| 1760019103 | Chanel Ligsay Blanco | Licensed Vocational Nurse | 2100 Capitol Ave, Sacramento, CA 95816-5721 | 2020-03-25 |
| 1528699857 | Haylee Smith | Licensed Vocational Nurse | 2100 Capitol Ave, Sacramento, CA 95816-5721 | 2020-01-27 |
| 1326600875 | Bennett Smith | Licensed Vocational Nurse | 2100 Capitol Ave, Sacramento, CA 95816-5721 | 2019-07-05 |
| 1194208405 | Vidya Balakrishnan | Physician Assistant | 2100 Capitol Ave, Sacramento, CA 95816-5721 | 2018-09-12 |
| 1528566700 | Renee Yvonne Hudson | Counselor | 2100 Capitol Ave, Sacramento, CA 95816-5721 | 2018-01-23 |
| 1336677715 | Neng H Vang | Counselor | 2100 Capitol Ave, Sacramento, CA 95816-5721 | 2017-05-30 |
| 1316497365 | Miriam Banuelos | Counselor | 2100 Capitol Ave, Sacramento, CA 95816-5721 | 2016-10-13 |
| 1912360520 | Pa Ia Thor | Counselor | 2100 Capitol Ave, Sacramento, CA 95816-5721 | 2016-03-31 |
| 1952775868 | Nichole Le Ann Martin | Counselor | 2100 Capitol Ave, Sacramento, CA 95816-5721 | 2015-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023657327 | Treatment Associates, Inc | Clinic/Center | 7225 E Southgate Dr, Sacramento, CA 95823-2652 | 2020-01-03 |
| 1326283706 | C.o.r.e. Medical Clinic, Inc. | Clinic/Center | 2100 Capitol Ave, Sacramento, CA 95816-5721 | 2008-12-12 |
| 1255419172 | Medmark Treatment Centers - Sacramento Inc | Clinic/Center | 7240 E Southgate Dr, Suite G, Sacramento, CA 95823-2627 | 2006-11-01 |
| 1831109735 | Treatment Associates, Inc. | Clinic/Center | 7225 E Southgate Dr, Sacramento, CA 95823-2620 | 2006-08-09 |
| 1174544092 | Bi-valley Medical Clinic Inc | Clinic/Center | 310 Harris Ave, Suite A, E, F, G, Sacramento, CA 95838-3249 | 2006-07-23 |
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| 1548899644 | Bella Team Ltd. | Clinic/Center | 2618 San Miguel Dr Ste 1288, Newport Beach, CA 92660-5437 | 2020-04-02 |
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| 1518501527 | Harmonic Solutions LLC | Clinic/Center | 1776 Ygnacio Valley Rd Ste 206, Walnut Creek, CA 94598-3125 | 2019-11-01 |
| 1326698887 | Aegis Treatment Centers, LLC | Clinic/Center | 2107, 2109 & 2113 1st St, Eureka, CA 95501-0840 | 2019-09-17 |
| 1548819550 | Aegis Treatment Centers, LLC | Clinic/Center | 1111 W Inyokern Rd Ste B, Ridgecrest, CA 93555-2370 | 2019-09-11 |
| 1306326699 | Kristen Andree Rickard | Clinic/Center | 1153 Paradise Trail Rd, Chula Vista, CA 91915-2502 | 2018-08-16 |
| 1083141600 | Baart Behavioral Health Services, Inc. | Clinic/Center | 1145 Market St Fl 10, San Francisco, CA 94103-1566 | 2017-05-13 |
| 1013448547 | Coachella Valley Treatment Center | Clinic/Center | 81709 Dr Carreon Blvd Ste B1, Indio, CA 92201-5510 | 2017-03-26 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
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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.