MERCY MEDICAL GROUP, INC. (NPI# 1073787180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073787180 |
| Entity Type | Organization |
| Organization Name | MERCY MEDICAL GROUP, INC. |
| Practice Address |
6555 Coyle Ave 2nd Floor Carmichael CA 95608-0302 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 9165363500 |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2012-10-22 |
| Authorized Official Name | KENNY HEINE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | G23454 | CA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316213143 | Mercy Medical Group, Inc. | Dietitian, Registered | 271 Carew St, Springfield, MA 01104 | 2012-03-27 |
| 1356516108 | Mercy Medical Group, Inc. | Non-Pharmacy Dispensing Site | 3160 Folsom Blvd, 1st Flr, Sacramento, CA 95816-5219 | 2008-04-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | MERCY MEDICAL GROUP, INC. | 271 Carew St., Springfield, MA 01104 |
| Street Address |
6555 COYLE AVE 2ND FLOOR |
| City | CARMICHAEL |
| State | CA |
| Zip Code | 95608-0302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831191980 | Deborah K. Plante | Internal Medicine | 6555 Coyle Ave, Carmichael, CA 95608-0302 | 2005-08-10 |
| 1164895553 | Kimberly Dawn Beatty | Nurse Practitioner | 6555 Coyle Ave, Suite 280, Carmichael, CA 95608-0302 | 2015-11-06 |
| 1902273485 | Jonathan Sanz | Physician Assistant | 6555 Coyle Ave, Carmichael, CA 95608-0302 | 2015-08-31 |
| 1073860664 | Radhika Ananthakrishna | Pediatrics | 6555 Coyle Ave, Suite 200, Carmichael, CA 95648 | 2012-08-14 |
| 1023315702 | Alexis Fruge | Physician Assistant | 6555 Coyle Ave, Suite 235, Carmichael, CA 95608-0302 | 2011-02-16 |
| 1558699819 | Lori E Arguello-carson | Nurse Practitioner | 6555 Coyle Ave, Carmichael, CA 95608-0302 | 2009-11-25 |
| 1174850663 | Christianna Michelle Stuber | Ophthalmology | 6555 Coyle Ave, Carmichael, CA 95608-0302 | 2009-11-04 |
| 1528294436 | Trevor M Williams | Surgery | 6555 Coyle Ave, Carmichael, CA 95608-0302 | 2009-06-05 |
| 1780823526 | Kelly Ann Frances Donnelly | Nurse Practitioner | 6555 Coyle Ave, Carmichael, CA 95608-0302 | 2009-02-18 |
| 1194962803 | Palaniappan Manickam | Internal Medicine | 6555 Coyle Ave, Carmichael, CA 95608-0302 | 2009-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776042 | Amari Home Health Care Inc. | Home Health | 6722 Fair Oaks Blvd., Suite 203, Carmichael, CA 95608 | 2020-09-29 |
| 1891333621 | Sonya Michelle Hernandez | Durable Medical Equipment & Medical Supplies | 5110 Ramona Vista Way, Carmichael, CA 95608 | 2019-12-11 |
| 1922640903 | Sacramento County Office of Education | Clinic/Center | Barrett Middle School/san Juan Unified School District, 4243 Barrett Road, School Counseling Office, Carmichael, CA 95608 | 2019-10-11 |
| 1558868927 | Gps Physician Group of California PC | Internal Medicine | American River Center, 3900 Garfield Ave, Carmichael, CA 95608 | 2018-04-11 |
| 1124534920 | Svitlana Plaschke | Nurse Practitioner | 5740 Windmill Way Ste 5, Carmichael, CA 95608 | 2017-12-17 |
| 1144770256 | Sacramento Foot and Ankle Center, Inc | Podiatrist | 5120 Manzanita Ave, Suite 100, Carmichael, CA 95608 | 2016-10-12 |
| 1457725202 | Sarah Beshay | Pharmacist | 4960 Heatherdale Ln, Carmichael, CA 95608 | 2015-11-17 |
| 1568835981 | Shivam Nand | Dentist | 2447 Mission Ave Ste B, Carmichael, CA 95608 | 2015-11-06 |
| 1487063434 | Alejandro Saropdas Mendoza | Pathology | Mercy San Juan Medical Center, 6501 Coyle Avenue, Carmichael, CA 95608 | 2014-08-04 |
| 1689014243 | Atkinson Youth Services, Inc. | Community/Behavioral Health | 4718 Engle Road, Carmichael, CA 95608 | 2013-06-27 |
| Find all providers in zip 95608 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902237076 | Med Center Medical Clinic | Non-Pharmacy Dispensing Site | 6651 Madison Ave, Carmichael, CA 95608-0602 | 2013-11-27 |
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| 1285268391 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 1337 S Lovers Ln Ste D, Visalia, CA 93292-5249 | 2020-02-27 |
| 1790327732 | Triumph Specialties LLC | Non-Pharmacy Dispensing Site | 11100 Sepulveda Blvd # 8-519, Mission Hills, CA 91345-1131 | 2019-10-10 |
| 1487210365 | Artius Dermatology Associates P.C. | Non-Pharmacy Dispensing Site | 325 Mall Dr Ste 111, Hanford, CA 93230-5950 | 2019-05-15 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1043719206 | Southern California Orthopedic Institute L.p | Non-Pharmacy Dispensing Site | 4100 Empire Dr Ste 120, Bakersfield, CA 93309-0408 | 2018-02-02 |
| 1174032353 | Golden Gate Urology, Inc. | Non-Pharmacy Dispensing Site | 139 Townsend St Ste 100, San Francisco, CA 94107-1946 | 2017-09-20 |
| 1215462080 | Mas Management Group, Inc. | Non-Pharmacy Dispensing Site | 28446 Constellation Rd, Valencia, CA 91355-5081 | 2017-04-28 |
| 1730624719 | St. John's Well Child and Family Center Inc | Non-Pharmacy Dispensing Site | 326 W 23rd St, Los Angeles, CA 90007-2612 | 2016-12-29 |
| Find all providers with the same taxonomy | ||||
| City | CARMICHAEL |
| Zip Code | 95608 |
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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.