DIGNITY HEALTH MEDICAL FOUNDATION


Address: 6060 Watt Ave, North Highlands, CA 95660-4212
Phone: 9163491568

DIGNITY HEALTH MEDICAL FOUNDATION (NPI# 1447492905) 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) 1447492905
Entity Type Organization
Organization Name DIGNITY HEALTH MEDICAL FOUNDATION
Other Organization Name MERCYCLINIC NORTH HIGHLANDS, A SERVICE OF DIGNITY HEALTH MEDICAL FOUND
Practice Address 6060 Watt Ave
North Highlands
CA 95660-4212
Practice Telephone 9163491568
Practice Fax Number 9163491574
Mailing Telephone 9163491568
Mailing Fax Number 9163491574
Enumeration Date 2009-03-30
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
MercyClinic North Highlands, a service of Dignity Health Medical Found Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1710129275 Dignity Health Medical Foundation Clinic/Center 105 Dean Way, Folsom, CA 95630-2801 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
1497180632 Dignity Health Medical Foundation Non-Pharmacy Dispensing Site 1264 Hawks Flight Ct, Suite 100, El Dorado Hills, CA 95762-9348 2013-09-06

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities DIGNITY HEALTH MEDICAL FOUNDATION 3400 Data Dr, Rancho Cordova, CA 95670-7956

Office Location

Street Address 6060 WATT AVE
City NORTH HIGHLANDS
State CA
Zip Code 95660-4212

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 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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1134738032 Healthworks Med Group of California A Medical Corporation Clinic/Center 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 2020-07-27
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Competitor

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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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