DIGNITY HEALTH MEDICAL FOUNDATION (NPI# 1942334339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942334339 |
| Entity Type | Organization |
| Organization Name | DIGNITY HEALTH MEDICAL FOUNDATION |
| Other Organization Name | MERCY MEDICAL GROUP, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION |
| Practice Address |
1792 Tribute Rd Suite 350 Sacramento CA 95815-4305 |
| Mailing Address |
Po Box 60000 File #72938 San Francisco CA 94160-2938 |
| Practice Telephone | 9169246400 |
| Practice Fax Number | 9166489869 |
| 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 | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BSCA PRO FEES | ZZZ29342Z | 01 | |
| CA | GR006356C | 05 | |
| HEALTH NET | 195 | 01 | |
| BLUE SHIELD | ZZZ60278Z | 01 | |
| CIGNA | 0019838 | 01 | |
| HEALTH NET | 983 | 01 | |
| SPECIAL PURPOSE TAX ID # | 341996544 | 01 | |
| DME SUPPLIER # | 476040021 | 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 |
1792 TRIBUTE RD SUITE 350 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95815-4305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497757686 | Jeffrey P Ruderman | Obstetrics & Gynecology | 1792 Tribute Rd, Suite 200, Sacramento, CA 95815-4305 | 2005-06-01 |
| 1962836254 | Teresa Brown | Dietitian, Registered | 1792 Tribute Rd, Suite 200, Sacramento, CA 95815-4305 | 2013-08-22 |
| 1598949430 | David C. Hsu | Psychiatry & Neurology | 1792 Tribute Rd, Suite 350, Sacramento, CA 95815-4305 | 2007-12-27 |
| 1073647020 | Chw Medical Foundation | Clinic/Center | 1792 Tribute Rd, Suite 350, Sacramento, CA 95815-4305 | 2007-03-14 |
| 1053446385 | Howard B. Spivak | Counselor | 1792 Tribute Rd, Suite 350, Sacramento, CA 95815-4305 | 2007-02-23 |
| 1841337011 | Sacramento Maternal Fetal Medicine Medical Group, Inc. | Specialist | 1792 Tribute Rd, Suite 200, Sacramento, CA 95815-4305 | 2007-01-30 |
| 1982762787 | Theodore Hoffman | Psychiatry & Neurology | 1792 Tribute Rd, Suite 350, Sacramento, CA 95815-4305 | 2006-12-05 |
| 1770651622 | Meryl B. Rappaport | Social Worker | 1792 Tribute Rd, Suite 350, Sacramento, CA 95815-4305 | 2006-11-30 |
| 1144309543 | Patricia Coan Hanson | Social Worker | 1792 Tribute Rd, Suite 350, Sacramento, CA 95815-4305 | 2006-11-04 |
| 1881773281 | Bonnie Jacobson | Marriage & Family Therapist | 1792 Tribute Rd, Suite 350, Sacramento, CA 95815-4305 | 2006-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958187 | Douglas Benjamin Gudeman | Counselor | Alternative House-residential Treatment Center, 1550 Juliesse Avenue, Sacramento, CA 95815 | 2020-06-26 |
| 1366091894 | Twin Rivers Unified School District | Supports Brokerage | 3051 Fairfield Street, Sacramento, CA 95815 | 2019-09-07 |
| 1669941159 | Maria Luisa Plasencia | Registered Nurse | Martin Luther King Jr. Technology Academy, 3051 Fairfield St, Sacramento, CA 95815 | 2018-11-14 |
| 1700386547 | Rww Outpatient Rehab Services, LLC | Clinic/Center | 1610 Arden Way Ste 195, Sacramento, CA 95815 | 2018-02-19 |
| 1114439262 | Ahc Healthcare of Sacramento Corporation | Skilled Nursing Facility | 1411 Expo Pkwy, Sacramento, CA 95815 | 2017-10-30 |
| 1588173686 | Rebekah Collette Curtis | Counselor | 1048 Dixieanne Ave. #28, Sacramento, CA 95815 | 2017-09-21 |
| 1497284145 | Prohealth Home Care Inc | Hospice Care, Community Based | 1375 Exposition Blvd Suite 250b, Sacramento, CA 95815 | 2017-06-07 |
| 1386982296 | Shailesh M Asaikar Md Inc | Clinic/Center | 1111 Exposition Blvd., Bldg 700, Sacramento, CA 95815 | 2013-01-28 |
| 1609129618 | Jackey Care's Housing | Clinic/Center | 2447 Boxwood St, Sacramento, CA 95815 | 2012-10-16 |
| 1144549304 | Rowena Deleon Nolasco | Nurse Practitioner | 577 Las Palmas Ave., Health for All, Sacremento, CA 95815 | 2010-05-26 |
| Find all providers in zip 95815 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467898106 | Reset Youth Treatment Enterprises | Clinic/Center | 3725 Marysville Boulevard, Suite 337, Sacramento, CA 95838 | 2013-05-21 |
| 1427325240 | Sacramento Children's Home | Clinic/Center | 2751 Wilmington Ave, Sacramento, CA 95820 | 2011-11-22 |
| 1225356819 | County of Sacramento | Clinic/Center | 2140 Stockton Blvd, Sacramento, CA 95817-1337 | 2010-05-07 |
| 1255537536 | River Oak Center for Children | Clinic/Center | 1238 S Street, Sacramento, CA 95814 | 2007-06-25 |
| 1992913883 | Heartland Child & Family Services | Clinic/Center | 477 Las Palmas Ave, Sacramento, CA 95815-1605 | 2007-05-21 |
| 1093921009 | Chw Medical Foundation | Clinic/Center | 3066 Freeport Blvd, Sacramento, CA 95818-4349 | 2007-05-15 |
| 1932314184 | Asian Pacific Community Counseling | Clinic/Center | 7273 14th Ave, Suite 120-b, Sacramento, CA 95820 | 2007-05-11 |
| 1598811952 | River Oak Center for Children | Clinic/Center | 2751 9th Ave, Sacramento, CA 95818-4406 | 2007-01-26 |
| 1780730143 | River Oak Center for Chilren | Clinic/Center | 7322 Florinda Way, Sacramento, CA 95828-4015 | 2007-01-26 |
| 1730234907 | River Oak Center for Children | Clinic/Center | 4322 4th Ave, Sacramento, CA 95817-3023 | 2007-01-25 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95815 |
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.