DIGNITY HEALTH MEDICAL FOUNDATION (NPI# 1700803418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700803418 |
| Entity Type | Organization |
| Organization Name | DIGNITY HEALTH MEDICAL FOUNDATION |
| Other Organization Name | MERCY MEDICAL GROUP, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION |
| Practice Address |
3000 Q St Sacramento CA 95816-7058 |
| Mailing Address |
Po Box 742016 Los Angeles CA 90074-2016 |
| Practice Telephone | 9167333397 |
| Practice Fax Number | 9167335385 |
| Mailing Telephone | 9163792840 |
| Mailing Fax Number | 9168591106 |
| Enumeration Date | 2006-07-17 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GRE000270 | 05 | |
| BSCA - DOWNTOWN | ZZZ28115Z | 01 | |
| BSCA - RADIOLOGY | ZZZ29474Z | 01 | |
| BSCA - FAMILY PRACTICE | ZZZ29336Z | 01 | |
| BSCA - RHEUMATOLOGY | ZZZ29468Z | 01 | |
| BSCA - OBGYN | ZZZ293383 | 01 | |
| CA | GR0050150 | 05 | |
| CA | BLUE CROSS | KVY | 01 |
| BSCA - PEDIATRICS | ZZZ29339Z | 01 | |
| CA | GSD000840 | 05 | |
| BSCA - INTERNAL MEDICINE | ZZZ29337Z | 01 | |
| BSCA - GASTROENTEROLOGY | ZZZ29475X | 01 | |
| BSCA - ALLERGY | ZZZ29477Z | 01 | |
| BSCA - URGENT CARE | ZZZ29478Z | 01 | |
| BSCA - ENDOCRINOLOGY | ZZZ26345Z | 01 | |
| BSCA - UROLOGY | ZZZ29472Z | 01 | |
| BSCA - GENERAL SURGERY | ZZZ29478Z | 01 |
| Other Name | Type Code |
|---|---|
| Mercy Medical Group, a service of Dignity Health Medical Foundation | 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 |
3000 Q ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-7058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518959097 | Lucian Maidan | Psychiatry & Neurology | 3000 Q St, Sacramento, CA 95816-7058 | 2005-08-19 |
| 1326505983 | Mavile L Hernandez | Pharmacy Technician | 3000 Q St, Sacramento, CA 95816 | 2019-03-01 |
| 1437621216 | Chloe Parra | Pharmacist | 3000 Q St, Sacramento, CA 95816-7058 | 2018-12-18 |
| 1912440918 | Mariel Yapdiangco | Nurse Practitioner | 3000 Q St, Sacramento, CA 95816-7058 | 2016-11-22 |
| 1881040970 | Caroline Lenaerts | Registered Nurse | 3000 Q St, Diabetes Education, Sacramento, CA 95816-7058 | 2016-05-09 |
| 1144614066 | Sarah Alayne Timberman | Nurse Practitioner | 3000 Q St, Sacramento, CA 95816-7058 | 2015-03-28 |
| 1194149435 | Nicole Zynda | Physician Assistant | 3000 Q St, Sacramento, CA 95816-7058 | 2014-02-06 |
| 1215366851 | Nyssa Thomas | Nurse Practitioner | 3000 Q St, Sacramento, CA 95816-7058 | 2013-11-04 |
| 1124452271 | Lindsey Zerhusen | Nurse Practitioner | 3000 Q St, Sacramento, CA 95816-7058 | 2013-08-26 |
| 1720338866 | Connie Haynie Sieracki | Audiologist | 3000 Q St, Sacramento, CA 95816-7058 | 2012-09-17 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093184244 | Bethel Averbeck Md A Professional Medical Corporation | Clinic/Center | 400 Capitol Mall, 22nd Floor, Sacramento, CA 95814-4407 | 2015-09-17 |
| 1801438015 | Rasnow Integrative Wellness Inc | Clinic/Center | 1102 Corporate Way, St 170, Sacramento, CA 95831 | 2019-10-09 |
| 1932691797 | Vascular Institute of Northern California A Podiatry Corporation | Clinic/Center | 500 University Ave Ste 250, Sacramento, CA 95825-6525 | 2018-06-06 |
| 1003267196 | Sutter Bay Medical Foundation | Clinic/Center | 1315 Alhambra Blvd Ste 210, Sacramento, CA 95816-5246 | 2016-06-29 |
| 1013355585 | Health and Life Organization, Inc. | Clinic/Center | 7551 Timberlake Way, Suite# 240, Sacramento, CA 95823-5420 | 2013-06-06 |
| 1033553425 | Uc Davis Health System | Clinic/Center | 2315 Stockton Blvd, Sesp Op160, Sacramento, CA 95817-2201 | 2013-04-29 |
| 1861795320 | Dignity Health Medical Foundation | Clinic/Center | 3941 J St, Suite 270, Sacramento, CA 95819-3624 | 2010-12-06 |
| 1437488715 | Dignity Community Care | Clinic/Center | 7601 Hospital Dr, Suite 103, Sacramento, CA 95823 | 2009-12-15 |
| 1770725863 | Dignity Health Medical Foundation | Clinic/Center | 3911 Norwood Ave, Sacramento, CA 95838-3361 | 2009-04-03 |
| 1578728077 | Regents of The University of Ca | Clinic/Center | 2521 Stockton Blvd, Ste. 5200, Sacramento, CA 95817-2207 | 2008-07-23 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
Please comment or provide details below to improve the information on DIGNITY HEALTH MEDICAL FOUNDATION.
| 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.