JOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CALIFORNIA (NPI# 1336527597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336527597 |
| Entity Type | Organization |
| Organization Name | JOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CALIFORNIA |
| Other Organization Name | MOLINA MARYSVILLE |
| Practice Address |
3234 Marysville Blvd Sacramento CA 95815-1411 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 9166461200 |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-07-07 |
| Authorized Official Name | KENNY HEINE (VP OF OPERATIONS) |
| Authorized Official Telephone | 8589641506 |
| 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 | 50051 | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| Molina Marysville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265836738 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 1627 E Anaheim St, Long Beach, CA 90813-3809 | 2014-10-13 |
| 1154709301 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 7777 Sunrise Blvd, Suite 2500, Citrus Heights, CA 95610-2300 | 2015-05-08 |
| 1699153858 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 6339 Mack Rd, Sacramento, CA 95823-4655 | 2015-05-08 |
| 1881072049 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 3946 Norwood Ave, Sacramento, CA 95838-3300 | 2015-05-08 |
| 1720465206 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 190 E Highland Ave, San Bernardino, CA 92404-3658 | 2015-05-04 |
| 1538546015 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 1181 N Mount Vernon Ave, Colton, CA 92324-2574 | 2015-05-04 |
| 1134506769 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 14544 7th St, Victorville, CA 92395-4214 | 2015-05-04 |
| 1184001661 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 5549 Van Buren Blvd, Riverside, CA 92503-2068 | 2015-05-04 |
| 1164809794 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 24853 Alessandro Blvd, Suite 4, Moreno Valley, CA 92553-6102 | 2015-05-04 |
| 1124405758 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 790 E Foothill Blvd, Rialto, CA 92376-5269 | 2015-05-04 |
| Street Address |
3234 MARYSVILLE BLVD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95815-1411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821061680 | Yelena M. Popova | Family Medicine | 3234 Marysville Blvd, Sacramento, CA 95815-1411 | 2006-02-10 |
| 1821525767 | Brittany Vacura | Dentist | 3234 Marysville Blvd, Sacramento, CA 95815-1411 | 2017-05-22 |
| 1346784295 | Elica Health Centers | Clinic/Center | 3234 Marysville Blvd, Sacramento, CA 95815-1411 | 2016-12-12 |
| 1053767434 | Elaine Shan | Pediatrics | 3234 Marysville Blvd, Sacramento, CA 95815-1411 | 2016-05-04 |
| 1265848196 | Guytelle Cave | Nurse Practitioner | 3234 Marysville Blvd, Sacramento, CA 95815-1411 | 2014-07-11 |
| 1326451592 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 3234 Marysville Blvd, Sacramento, CA 95815-1411 | 2014-06-05 |
| 1871913574 | Sansha Clement | Nurse Practitioner | 3234 Marysville Blvd, Sacramento, CA 95815-1411 | 2014-04-21 |
| 1932536026 | Michelle Louise Sepe | Social Worker | 3234 Marysville Blvd, Sacramento, CA 95815-1411 | 2013-10-03 |
| 1770846784 | Karl Edward Reiber | Pediatrics | 3234 Marysville Blvd, Sacramento, CA 95815-1411 | 2012-06-25 |
| 1639492390 | Effort,inc | Clinic/Center | 3234 Marysville Blvd, Sacramento, CA 95815 | 2010-03-10 |
| 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 | 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 |
|---|---|---|---|---|
| 1982088365 | Center for Interventional Spine, A Medical Corporation | Non-Pharmacy Dispensing Site | 1817 Professional Drive, Sacramento, CA 95825 | 2015-07-15 |
| 1699153858 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 6339 Mack Rd, Sacramento, CA 95823-4655 | 2015-05-08 |
| 1881072049 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 3946 Norwood Ave, Sacramento, CA 95838-3300 | 2015-05-08 |
| 1043612732 | Alok Krishna Md | Non-Pharmacy Dispensing Site | 87 Scripps Dr, Suite 210, Sacramento, CA 95825-6372 | 2014-09-24 |
| 1578965315 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 7215 55th St, Sacramento, CA 95823-2601 | 2014-09-24 |
| 1295145670 | Dawei Zheng Md A Professional Medical Corp | Non-Pharmacy Dispensing Site | 8701 Center Pkwy, Suite 170, Sacramento, CA 95823-7918 | 2014-05-06 |
| 1851718175 | Tri-dung G Hoang Md Incorporated | Non-Pharmacy Dispensing Site | 6540 Stockton Blvd, Suite 3a, Sacramento, CA 95823-1635 | 2014-03-25 |
| 1962823781 | Associated Family Physicians Inc | Non-Pharmacy Dispensing Site | 8110 Timberlake Way, Sacramento, CA 95823-5401 | 2013-12-20 |
| 1356516108 | Mercy Medical Group, Inc. | Non-Pharmacy Dispensing Site | 3160 Folsom Blvd, 1st Flr, Sacramento, CA 95816-5219 | 2008-04-23 |
| 1679788020 | Molina Healthcare of California | Non-Pharmacy Dispensing Site | Molina Medical Centers - Smo, 7215 55th Street, Sacramento, CA 95823-2601 | 2007-05-11 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95815 |
Please comment or provide details below to improve the information on JOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CALIFORNIA.
| 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.