DIGNITY HEALTH MEDICAL FOUNDATION (NPI# 1881728269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881728269 |
| Entity Type | Organization |
| Organization Name | DIGNITY HEALTH MEDICAL FOUNDATION |
| Other Organization Name | MERCY MEDICAL GROUP, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION |
| Practice Address |
8001 Madison Ave Citrus Heights CA 95610-7901 |
| Mailing Address |
Po Box 60000 File #72938 San Francisco CA 94160-2938 |
| Practice Telephone | 9165362420 |
| Practice Fax Number | 9169657844 |
| Mailing Telephone | 9167333397 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2014-12-17 |
| 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 |
|---|---|---|---|
| SPECIAL PURPOSE TAX ID # | 341996544 | 01 | |
| HEALTH NET | 195 | 01 | |
| HEALTH NET | 983 | 01 | |
| BLUE CROSS | KYK | 01 | |
| DME SUPPLIER # | 476040018 | 01 | |
| CA | GR005015C | 05 | |
| CIGNA | 0019838 | 01 | |
| BLUE SHIELD | ZZZ38532Z | 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 |
8001 MADISON AVE |
| City | CITRUS HEIGHTS |
| State | CA |
| Zip Code | 95610-7901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467485474 | Aymel John Tarrar | Family Medicine | 8001 Madison Ave, Citrus Heights, CA 95610-7901 | 2006-07-10 |
| 1891037081 | Patricia Lain Hsiao | Family Medicine | 8001 Madison Ave, Citrus Heights, CA 95610-7901 | 2013-03-26 |
| 1366755381 | Da Xu | Physician Assistant | 8001 Madison Ave, Citrus Heights, CA 95610-7901 | 2010-07-19 |
| 1770740789 | Joanne Miyauchi | Physician Assistant | 8001 Madison Ave, Citrus Heights, CA 95610-7901 | 2008-05-19 |
| 1588784896 | Theresa Manaloto | Family Medicine | 8001 Madison Ave, Citrus Heights, CA 95610-7901 | 2007-03-30 |
| 1881786390 | Christine Lynn Shultz Braid | Family Medicine | 8001 Madison Ave, Citrus Heights, CA 95610-7901 | 2006-09-29 |
| 1235230517 | Bruce W. Jensen | Family Medicine | 8001 Madison Ave, Citrus Heights, CA 95610-7901 | 2006-09-26 |
| 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 |
| 1528427804 | Mpl Group, LLC | General Practice | 7601 Sunrise Blvd., Suite 8, Citrus Heights, CA 95610 | 2016-02-16 |
| 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 |
| Find all providers in zip 95610 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215917810 | Regents of The University of California | Clinic/Center | 7551 Madison Ave, Citrus Heights, CA 95610-7449 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878117 | Cameron S Francis Md Inc | Clinic/Center | 1431 Camino Del Mar, Del Mar, CA 92014-2509 | 2020-10-15 |
| 1982211835 | Crossover Health Medical Group | Clinic/Center | 711 W 2nd St Ste A, San Bernardino, CA 92410-3262 | 2020-09-24 |
| 1982211843 | Crossover Health Medical Group | Clinic/Center | 5379 Hamner Ave Unit 801, Eastvale, CA 91752-1042 | 2020-09-24 |
| 1164039020 | Crossover Health Medical Group | Clinic/Center | 14329 Frederick St Ste 7-9, Moreno Valley, CA 92553-9003 | 2020-09-24 |
| 1104432673 | Aleracare Medical Group of California | Clinic/Center | 17777 Ventura Blvd Ste 220, Encino, CA 91316-3748 | 2020-09-21 |
| 1205447687 | Shawn Richard Oneill | Clinic/Center | 5979 Trotters Ln, Alta Loma, CA 91701-2644 | 2020-08-11 |
| 1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
| 1437767951 | Miro Health | Clinic/Center | 260 King St Unit 1505, San Francisco, CA 94107-6415 | 2020-07-21 |
| 1598383895 | Alacrity Patient Services, Inc. | Clinic/Center | 1002 N Hudson Ave Apt 1, Los Angeles, CA 90038-2595 | 2020-07-13 |
| 1306464979 | Aleracare Medical Group of California | Clinic/Center | 4849 Van Nuys Blvd Ste 220, Sherman Oaks, CA 91403-2155 | 2020-07-10 |
| Find all providers with the same taxonomy | ||||
| City | CITRUS HEIGHTS |
| Zip Code | 95610 |
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.