DIGNITY HEALTH MEDICAL FOUNDATION


Address: 2200 Sunrise Blvd, Suite 250, Gold River, CA 95670-4374
Phone: 9168518400

DIGNITY HEALTH MEDICAL FOUNDATION (NPI# 1619282308) 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) 1619282308
Entity Type Organization
Organization Name DIGNITY HEALTH MEDICAL FOUNDATION
Other Organization Name MERCY MEDICAL GROUP, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION
Practice Address 2200 Sunrise Blvd
Suite 250
Gold River
CA 95670-4374
Mailing Address 3000 Q St
Sacramento
CA 95816-7058
Practice Telephone 9168518400
Practice Fax Number 9168511993
Mailing Telephone 9167335701
Mailing Fax Number 9168591671
Enumeration Date 2010-08-18
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
Mercy Medical Group, a service of Dignity Health Medical Foundation 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
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
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

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 2200 SUNRISE BLVD
SUITE 250
City GOLD RIVER
State CA
Zip Code 95670-4374

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417927310 Amy Gerrit Wandel Plastic Surgery 2200 Sunrise Blvd, Mercy Medical Group Mercy, Gold River, CA 95670-4374 2006-01-24
1346576295 Eyecenter Optometrics, A Professional Corporation Optometrist 2200 Sunrise Blvd, Suite #120, Gold River, CA 95670-4374 2009-10-28
1801007174 Jon G Finkler Surgery 2200 Sunrise Blvd, Suite #250, Gold River, CA 95670-4374 2007-05-25
1114019171 Palmer N Lee Optometrist 2200 Sunrise Blvd, Suite 120, Gold River, CA 95670-4374 2006-09-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689297640 Blue Angels Trans LLC Non-emergency Medical Transport (VAN) 11082 Coloma Rd. Suite #10, Rancho Cordova, CA 95670 2020-05-26
1104452796 Stephanie Lynn Miller Registered Nurse 10850 Golden Center Drive, Rancho Cordova, CA 95670 2020-03-16
1174165948 Sacramento County Office of Education Clinic/Center Mitchell Middle School/folsom-cordova Unified School Di, 2100 Zinfandel Drive, School Counseling Office, Rancho Cordova, CA 95670 2019-10-14
1700364353 Kavneet Bindra Dentist 3191 Zinfandel Dr Ste 21, Rancho Cordova, CA 95670 2018-08-04
1487172029 Monica Jackson Registered Nurse 3235 Gosport Way, Rancho Cordova, CA 95670 2017-09-05
1710408422 Noemi Colmenares Specialist/Technologist 11100 Coloma Rd., Rancho Cordova, CA 95670 2017-07-03
1245779552 Kristin Lyn Kaminski-wadle Student in an Organized Health Care Education/Training Program 11344 Coloma Rd Ste 515, Gold River, CA 95670 2017-02-20
1801331822 Margrette Elaine Townsend Counselor 2379 Stone River Ct, Gold River, CA 95670 2016-12-29
1164889572 Jose H Macaspac Iv Physical Therapist 12155 Tributary Point Dr Apt 124, Rancho Cordova, CA 95670 2016-01-15
1972971620 Harry James Buzbuzian Jr. General Practice 11345 Gold Country Blvd, Gold River, CA 95670 2015-09-11
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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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Competitor

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City GOLD RIVER
Zip Code 95670

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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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