DIGNITY HEALTH MEDICAL FOUNDATION (NPI# 1508222647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508222647 |
| Entity Type | Organization |
| Organization Name | DIGNITY HEALTH MEDICAL FOUNDATION |
| Other Organization Name | DIGNITY HEALTH MEDICAL GROUP - NORTHRIDGE, A SERVICE OF DIGNITY HEALTH |
| Practice Address |
18406 Roscoe Blvd Northridge CA 91325-4107 |
| Mailing Address |
3400 Data Dr 1st Floor Rancho Cordova CA 95670-7956 |
| Practice Telephone | 8188855480 |
| Mailing Telephone | 9163792726 |
| Mailing Fax Number | 9168537874 |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | IRS | 383981523 | 01 |
| Other Name | Type Code |
|---|---|
| Dignity Health Medical Group - Northridge, a service of Dignity Health | 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 |
| 1447492905 | Dignity Health Medical Foundation | Clinic/Center | 6060 Watt Ave, North Highlands, CA 95660-4212 | 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 |
| 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 |
18406 ROSCOE BLVD |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91325-4107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003814468 | Lasonya Adele Davis | Nurse Practitioner | 18406 Roscoe Blvd, Northridge, CA 91325-4107 | 2005-07-11 |
| 1235768219 | Christopher Dean Galliosborn | Student in an Organized Health Care Education/Training Program | 18406 Roscoe Blvd, Northridge, CA 91325-4107 | 2020-04-02 |
| 1770111403 | Harika Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 18406 Roscoe Blvd, Northridge, CA 91325-4107 | 2020-03-30 |
| 1730717513 | Sahar Askarinam | Student in an Organized Health Care Education/Training Program | 18406 Roscoe Blvd, Northridge, CA 91325-4107 | 2020-03-29 |
| 1013544170 | Ruixuan Zhang | Student in an Organized Health Care Education/Training Program | 18406 Roscoe Blvd, Northridge, CA 91325-4107 | 2020-03-26 |
| 1154958494 | Sheeva Zolghadr | Student in an Organized Health Care Education/Training Program | 18406 Roscoe Blvd, Northridge, CA 91325-4107 | 2020-03-26 |
| 1104453372 | Annie Jia | Student in an Organized Health Care Education/Training Program | 18406 Roscoe Blvd, Northridge, CA 91325-4107 | 2020-03-26 |
| 1649807975 | David Chen | Student in an Organized Health Care Education/Training Program | 18406 Roscoe Blvd, Northridge, CA 91325-4107 | 2020-03-25 |
| 1386271682 | Dina Al-rabadi | Student in an Organized Health Care Education/Training Program | 18406 Roscoe Blvd, Northridge, CA 91325-4107 | 2020-03-25 |
| 1821558131 | Nancy Robles | Student in an Organized Health Care Education/Training Program | 18406 Roscoe Blvd, Northridge, CA 91325 | 2019-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346961 | Patricia Yamilet Morales | Registered Nurse | 18300 Roscoe Blvd Dignity Health- Northridge Hospital M, Northridge, CA 91325 | 2020-11-02 |
| 1790342897 | Northridge Kidney Center, LLC | Clinic/Center | 17710 Roscoe Blvd, Northridge, CA 91325 | 2019-05-23 |
| 1063078376 | Ozlem Alper | Student in an Organized Health Care Education/Training Program | 18497 Dearborn St, Unit 112, Northridge, CA 91325 | 2019-05-13 |
| 1144883489 | Better Sober | Clinic/Center | 9339 Louse Ave, Northridge, CA 91325 | 2019-04-22 |
| 1902383920 | Ntr Resources, LLC | Pathology | 17433 Nordhoff, Northridge, CA 91325 | 2018-07-23 |
| 1043713969 | Poly-med Pharmacy Inc | Pharmacy | 17313 Roscoe Blvd, Northridge, CA 91325 | 2018-03-16 |
| 1982151940 | Maria Dakessian | Dentist | 18250 Roscoe Blvd Ste 345, Northridge, CA 91325 | 2016-09-07 |
| 1487019469 | Beshoy Gerges | Pharmacist | 8254 White Oak Ave Unit 4, Northridge, CA 91325 | 2015-12-17 |
| 1235520305 | Gema Bautista | Social Worker | 8550 Balboa Blvd Ste 216, Northridge, CA 91325 | 2015-02-11 |
| 1083018873 | Sosann Haider | Pharmacist | 18444 Plummer St., Northridge, CA 91325 | 2014-10-22 |
| Find all providers in zip 91325 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
| 1699396754 | Total Health Elevated Medical Corp | Clinic/Center | 17026 Devonshire St, Northridge, CA 91325-1617 | 2020-04-29 |
| 1003260696 | D-infinity Health & Beauty Essence Inc | Clinic/Center | 9335 Reseda Blvd Ste 102, Northridge, CA 91324-2977 | 2016-04-20 |
| 1336243625 | Tarzana Treatment Centers, Inc. | Clinic/Center | 8330 Reseda Blvd, Northridge, CA 91324-4619 | 2006-09-08 |
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| 1982211843 | Crossover Health Medical Group | Clinic/Center | 5379 Hamner Ave Unit 801, Eastvale, CA 91752-1042 | 2020-09-24 |
| 1164039020 | Crossover Health Medical Group | Clinic/Center | 14329 Frederick St Ste 7-9, Moreno Valley, CA 92553-9003 | 2020-09-24 |
| 1104432673 | Aleracare Medical Group of California | Clinic/Center | 17777 Ventura Blvd Ste 220, Encino, CA 91316-3748 | 2020-09-21 |
| 1205447687 | Shawn Richard Oneill | Clinic/Center | 5979 Trotters Ln, Alta Loma, CA 91701-2644 | 2020-08-11 |
| 1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
| 1437767951 | Miro Health | Clinic/Center | 260 King St Unit 1505, San Francisco, CA 94107-6415 | 2020-07-21 |
| 1598383895 | Alacrity Patient Services, Inc. | Clinic/Center | 1002 N Hudson Ave Apt 1, Los Angeles, CA 90038-2595 | 2020-07-13 |
| 1306464979 | Aleracare Medical Group of California | Clinic/Center | 4849 Van Nuys Blvd Ste 220, Sherman Oaks, CA 91403-2155 | 2020-07-10 |
| Find all providers with the same taxonomy | ||||
| City | NORTHRIDGE |
| Zip Code | 91325 |
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.