ELICA HEALTH CENTERS


Address: 4815 Watt Ave, North Highlands, CA 95660-5108
Phone: 8553542242

ELICA HEALTH CENTERS (NPI# 1366051120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366051120
Entity Type Organization
Organization Name ELICA HEALTH CENTERS
Practice Address 4815 Watt Ave
North Highlands
CA 95660-5108
Mailing Address 1860 Howe Ave Ste 440
Sacramento
CA 95825-1098
Practice Telephone 8553542242
Practice Fax Number 9168903828
Mailing Telephone 9165698484
Enumeration Date 2020-07-28
Last Update Date 2020-07-28
Authorized Official Name TATYANA BAK (CEO)
Authorized Official Telephone 9165698484
Is Organization Subpart Y
Parent Organization Name ELICA HEALTH CENTERS

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Elica Health Centers North Highlands Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1265059182 Elica Health Centers Clinic/Center 77 Cadillac Dr Ste 200, Sacramento, CA 95825-8337 2020-06-26
1548705874 Elica Health Centers Clinic/Center 752 Revere St Unit B, Sacramento, CA 95818-2073 2016-12-22
1740660703 Elica Health Centers Clinic/Center 1750 Wright St Ste 1, Sacramento, CA 95825-4041 2015-06-04
1548425853 Elica Health Centers Clinic/Center 155 15th St Ste A, West Sacramento, CA 95691-3737 2008-07-25
1366068553 Elica Health Centers Clinic/Center 1276 Halyard Dr, West Sacramento, CA 95691-3412 2020-06-23
1154947711 Elica Health Centers Clinic/Center 6339 Mack Rd, Sacramento, CA 95823-4655 2020-06-19
1760013494 Elica Health Centers Clinic/Center 1276 Halyard Dr, West Sacramento, CA 95691-3412 2020-01-31
1851893077 Elica Health Centers Clinic/Center 5708 Watt Avenue, North Highlands, CA 95660 2018-03-03
1205341336 Elica Health Centers Clinic/Center 1276 Halyard Dr, West Sacramento, CA 95691-3412 2017-12-12
1730693805 Elica Health Centers Clinic/Center 1276 Halyard Dr, West Sacramento, CA 95691-3412 2017-11-27

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities ELICA HEALTH CENTERS 155 15th St, West Sacramento, CA 95691-3737

Office Location

Street Address 4815 WATT AVE
City NORTH HIGHLANDS
State CA
Zip Code 95660-5108

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679579726 Alya Zia Ahmad Pediatrics 4815 Watt Ave, North Highlands, CA 95660-5108 2005-06-23
1275148769 Sandra J Lightner Nurse Practitioner 4815 Watt Ave, North Highlands, CA 95660-5108 2020-09-10
1649718578 Moham M Ansari Dentist 4815 Watt Ave, North Highlands, CA 95660-5108 2017-02-11
1700967908 Larisa Anatolyevna Lysak Nurse Practitioner 4815 Watt Ave, North Highlands, CA 95660-5108 2006-10-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881198810 Wyzell Washington Behavior Technician 4039 Polk Street #89, North Highlands, CA 95660 2018-03-23
1184147746 Rosane Jordao Registered Nurse 6045 Watt Ave # Wz3e, North Highlands, CA 95660 2017-07-25
1962823435 Aaron Michael Lowe Chiropractor 5400 Watt Ave., North Highlands, CA 95660 2013-12-30
1609157833 Working Title LLC Non-emergency Medical Transport (VAN) 3831 Tavi Ave, North Highlands, CA 95660 2011-09-01
1275795122 Twin Rivers Unified School District Local Education Agency (LEA) 3222 Winona Way, North Highlands, CA 95660 2008-07-01
1295850154 Vera Bolyshkanov Dentist 6137 Watt Ave, Suite 8, North Highlands, CA 95660 2007-03-20
1245304856 Nourollah Danialypour General Practice 5708 Watt Avenue, North Highlands, CA 95660 2006-11-17
1912000571 Marc Douglas Siemens Chiropractor 5705 Marconi Ave, Ste B, Carmichael, CA 95660 2006-09-07
1811004906 Wendy Walker Godfrey Social Worker 3628 Madison Avenue, Suite 7, North Highlands, CA 95660 2006-08-24
1629181045 Erik Sternad Marriage & Family Therapist 4612 Roseville Road, North Highlands, CA 95660 2006-08-17
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598301921 Health and Life Organization, Inc. (h.a.l.o.) Clinic/Center 4986 Watt Ave Ste D, North Highlands, CA 95660-5182 2019-11-20
1851893077 Elica Health Centers Clinic/Center 5708 Watt Avenue, North Highlands, CA 95660 2018-03-03
1861942849 Wellspace Health Clinic/Center 6015 Watt Ave, #2, North Highlands, CA 95660-4294 2016-10-13
1326175100 Wellspace Health Clinic/Center 6015 Watt Ave, Ste 2, North Highlands, CA 95660-4294 2007-02-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184224156 Via Care Community Health Center Clinic/Center 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 2020-10-29
1821697483 North East Medical Services Clinic/Center 2633 San Bruno Ave, San Francisco, CA 94134-1597 2020-10-23
1508465303 Valley Health Team, Inc Clinic/Center 459 W Line St Ste C, Bishop, CA 93514-3333 2020-10-22
1699373209 Golden Valley Health Center Clinic/Center 1524 Mchenry Ave Ste 550, Modesto, CA 95350-4573 2020-10-15
1508464116 Golden Valley Health Center Clinic/Center 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 2020-10-15
1134727746 Golden Valley Health Center Clinic/Center 1524 Mchenry Ave Ste 565, Modesto, CA 95350-4500 2020-10-15
1083221451 Harmony Health Medical Clinic and Family Resource Center Clinic/Center 1930 N. Beale Road, Marysville, CA 95901-6915 2020-09-29
1235745928 Community Medical Centers Inc Clinic/Center 747 E Channel St, Stockton, CA 95202-2628 2020-09-18
1760098503 Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare Clinic/Center 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 2020-09-17
1164037149 Camarena Health Clinic/Center 16645 Road 26, Madera, CA 93638-0830 2020-09-15
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Competitor

Search similar providers

City NORTH HIGHLANDS
Zip Code 95660

Improve Information

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Dataset Information

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.

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