LAGUNA FAMILY PRACTICE (NPI# 1093010159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093010159 |
| Entity Type | Organization |
| Organization Name | LAGUNA FAMILY PRACTICE |
| Other Organization Name | TRINITY TOTAL HEALTHCARE |
| Practice Address |
9281 Office Park Cir Suite 120 Elk Grove CA 95758-8068 |
| Mailing Address |
9281 Office Park Circle Suite 120 Elk Grove CA 95758 |
| Practice Telephone | 9166914300 |
| Mailing Telephone | 9166914300 |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2011-01-21 |
| Authorized Official Name | MS. GLENDA GOODWIN (PRESIDENT) |
| Authorized Official Telephone | 9166914300 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | A71660 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Trinity Total Healthcare | Doing Business As Name - Organization |
| Street Address |
9281 OFFICE PARK CIR SUITE 120 |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95758-8068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194799650 | Gregory Edward Douglas | Obstetrics & Gynecology | 9281 Office Park Cir, 120, Elk Grove, CA 95758-8068 | 2006-02-13 |
| 1497074363 | Glenda Goodwin Md Inc | Obstetrics & Gynecology | 9281 Office Park Cir, Suite 120, Elk Grove, CA 95758-8068 | 2010-05-18 |
| 1316264641 | Laguna Family Practice, Inc | Obstetrics & Gynecology | 9281 Office Park Cir, Suite 120, Elk Grove, CA 95758-8068 | 2010-04-26 |
| 1053641514 | Sarah Elizabeth Mcdowell | Physical Therapist | 9281 Office Park Cir, Suite 110, Elk Grove, CA 95758-8068 | 2010-01-06 |
| 1699911818 | Kathleen Cassidy Peck | Physical Therapist | 9281 Office Park Cir, Suite 110, Elk Grove, CA 95758-8068 | 2008-12-17 |
| 1831259530 | Sutter Medical Foundation | Durable Medical Equipment & Medical Supplies | 9281 Office Park Cir, #120, Elk Grove, CA 95758-8068 | 2006-12-11 |
| 1275609828 | Sutter Medical Foundation | Durable Medical Equipment & Medical Supplies | 9281 Office Park Cir, #120, Elk Grove, CA 95758-8068 | 2006-11-27 |
| 1972694289 | Jamie S Sherman | Pediatrics | 9281 Office Park Cir, #120, Elk Grove, CA 95758-8068 | 2006-09-28 |
| 1578662128 | Yolanda H Valle | Pediatrics | 9281 Office Park Cir, #120, Elk Grove, CA 95758-8068 | 2006-09-21 |
| 1144329715 | Ngoc Han D Vu | Pediatrics | 9281 Office Park Cir, #120, Elk Grove, CA 95758-8068 | 2006-09-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244208 | Obia Njoku | Nurse Practitioner | 9105 Bruceville Rd Ste 1a #580405, Elk Grove, CA 95758 | 2020-01-14 |
| 1992362362 | Kimberly Abrahamson | Student in an Organized Health Care Education/Training Program | 9412 Big Horn Dr #6, Elk Grove, CA 95758 | 2019-05-21 |
| 1447737333 | Elk Grove Rehab & Counseling Center | Counselor | 7807 Laguna Blvd., Suite 480, Elk Grove, CA 95758 | 2018-07-24 |
| 1114424579 | Arielle Mize | Dietitian, Registered | 8161 Sheldon Road, #103, Elk Grove, CA 95758 | 2018-04-11 |
| 1154822609 | Eston Garcia | Behavior Technician | 2366 Martime Drive, Elk Grove, CA 95758 | 2018-02-21 |
| 1912406364 | Nicole Torneros | Behavior Technician | 2336 Maritime Drive, Elk Grove, CA 95758 | 2018-02-12 |
| 1134628712 | Northern California Vasectomy | Family Medicine | 9045 Bruceville Rd Ste 100b, Elk Grove, CA 95758 | 2018-02-08 |
| 1083134399 | Uchechi Mbonu | Assisted Living Facility | 7019 Mcgill Court, Elk Grove, CA 95758 | 2017-06-27 |
| 1922557362 | Muhanad Aliakbar | Driver | 8275 Oakbriar Cir, Elk Grove, CA 95758 | 2016-09-27 |
| 1063868123 | Teresa Vinciguerra | Marriage & Family Therapist | 9412 Elk Horn Blvd, Suite 6, Elk Grove, CA 95758 | 2016-05-09 |
| Find all providers in zip 95758 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467558783 | Sacramento County Dhhs | Clinic/Center | 6808 Rio Tejo Way, Elk Grove, CA 95757-3432 | 2006-09-15 |
| 1235649492 | Lemire Chiropractic Spine & Sport Inc. | Clinic/Center | 2354 Maritime Dr Ste 100, Elk Grove, CA 95758-3657 | 2017-10-02 |
| 1952794992 | California Northstate University, College of Medicine | Clinic/Center | 9700 W Taron Dr, Elk Grove, CA 95757-8145 | 2015-03-16 |
| 1740547082 | Antovich Chiropractic Inc | Clinic/Center | 9156 Elk Grove Blvd, Elk Grove, CA 95624-2013 | 2012-04-11 |
| 1447568191 | Sacramento Urgent Care | Clinic/Center | 9045 Bruceville Rd, Suite 100, Elk Grove, CA 95758-5948 | 2010-09-15 |
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|---|---|---|---|---|
| 1467053272 | West Sacramento Primary Care Inc. | Clinic/Center | 2455 Jefferson Blvd Ste 100, West Sacramento, CA 95691-5329 | 2020-11-06 |
| 1306447941 | Bedford Breast Surgeons | Clinic/Center | 436 North Bedford Drive, Suite 105, Beverly Hills, CA 90210-4323 | 2020-11-02 |
| 1538767082 | County of Los Angeles | Clinic/Center | 6902 Atlantic Ave, Bell, CA 90201-3647 | 2020-10-15 |
| 1225636855 | Optimum Wellness and Weight Loss | Clinic/Center | 910 S El Camino Real Ste 100, San Clemente, CA 92672-4279 | 2020-10-15 |
| 1932707700 | Body By Design Wellness and Massage Clinic, Inc. | Clinic/Center | 3625 E Thousand Oaks Blvd Ste 215216, Westlake Village, CA 91362-3626 | 2020-10-14 |
| 1639786189 | Rams Ppe | Clinic/Center | 15329 Bonanza Rd Ste D, Victorville, CA 92392-2457 | 2020-09-29 |
| 1720695729 | Vila Facial Plastic Surgery | Clinic/Center | 1000 S Eliseo Dr Ste 203, Greenbrae, CA 94904-2151 | 2020-09-24 |
| 1902410442 | Hope Elementary School District | Clinic/Center | 3970 La Colina Rd Ste 14, Santa Barbara, CA 93110-1596 | 2020-09-02 |
| 1558974097 | Jiseki Health Inc | Clinic/Center | 1150 S King Rd Ste 40, San Jose, CA 95122-2140 | 2020-08-25 |
| 1902417678 | I-ma Acupuncture Inc | Clinic/Center | 2485 High School Ave Ste 123, Concord, CA 94520-1812 | 2020-08-14 |
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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.