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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
MercyClinic North Highlands, a service of Dignity Health Medical Found | Doing Business As Name - Organization |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | DIGNITY HEALTH MEDICAL FOUNDATION | 3400 Data Dr, Rancho Cordova, CA 95670-7956 |
Street Address |
6060 WATT AVE |
City | NORTH HIGHLANDS |
State | CA |
Zip Code | 95660-4212 |
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 |
Find all providers in zip 95660 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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Find all providers with the same taxonomy |
City | NORTH HIGHLANDS |
Zip Code | 95660 |
Please comment or provide details below to improve the information on DIGNITY HEALTH MEDICAL FOUNDATION.
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.