MOLINA HEALTHCARE OF CALIFORNIA (NPI# 1679788020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679788020 |
| Entity Type | Organization |
| Organization Name | MOLINA HEALTHCARE OF CALIFORNIA |
| Other Organization Name | MOLINA MEDICAL CENTERS |
| Practice Address |
Molina Medical Centers - Smo 7215 55th Street Sacramento CA 95823-2601 |
| Mailing Address |
Molina Medical Centers - Smo One Golden Shore Long Beach CA 90802-4202 |
| Practice Telephone | 9163991100 |
| Practice Fax Number | 9163992061 |
| Mailing Telephone | 5624996191 |
| Mailing Fax Number | 5624996171 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DENNIS WAYNE EVANS (STRATEGIC PLANNER, RESEARCH & DEV.) |
| Authorized Official Telephone | 5624996191 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR004265G | 05 |
| Other Name | Type Code |
|---|---|
| Molina Medical Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376843334 | Molina Healthcare of California | Pediatrics | 790 E. Foothill Blvd, Rialto, CA 92376 | 2010-10-25 |
| 1588964548 | Molina Healthcare of California | Pediatrics | 790 E. Foothill Blvd, Suite D, Rialto, CA 92376-5269 | 2010-10-25 |
| 1477860187 | Molina Healthcare of California | Family Medicine | 170 East Highland Ave, San Bernardino, CA 92404-3658 | 2010-09-02 |
| 1194930545 | Molina Healthcare of California | Internal Medicine | Molina Medical Centers - Smo, 3946 Norwood Avenue, Sacramento, CA 95838-3300 | 2007-05-11 |
| 1932214228 | Molina Healthcare of California | Internal Medicine | 887 E Second St, Pomona, CA 91766-2009 | 2006-08-20 |
| 1669586020 | Molina Healthcare of California | Internal Medicine | 540 E Artesia Bl, Long Beach, CA 90805-1476 | 2006-08-19 |
| 1497869887 | Molina Healthcare of California | Family Medicine | 445 E. Anaheim St, Wilmington, CA 90744-4600 | 2006-08-19 |
| 1750663191 | Molina Healthcare of California | Pediatrics | 5549 Van Buren Blvd, Riverside, CA 92503-2068 | 2011-09-12 |
| 1295035251 | Molina Healthcare of California | Internal Medicine | 24853 Alessandro Blvd, Moreno Valley, CA 92553-6102 | 2010-10-25 |
| 1952516288 | Molina Healthcare of California | Non-Pharmacy Dispensing Site | Molina Medical Centers - Smo, 954 Sacramento Avenue, W. Sacramento, CA 95605-1904 | 2007-05-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | MOLINA HEALTHCARE OF CALIFORNIA, INC. | 200 Oceangate, Suite 100, Long Beach, CA 90802 |
| Street Address |
MOLINA MEDICAL CENTERS - SMO 7215 55TH STREET |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194930545 | Molina Healthcare of California | Internal Medicine | Molina Medical Centers - Smo, 3946 Norwood Avenue, Sacramento, CA 95838-3300 | 2007-05-11 |
| 1588879936 | Molina Healthcare of California | Non-Pharmacy Dispensing Site | Molina Medical Centers - Smo, 3946 Norwood Avenue, Sacramento, CA 95838-3300 | 2007-05-11 |
| 1295940641 | Molina Healthcare of California | Non-Pharmacy Dispensing Site | Molina Medical Centers - Smo, 7215 55th Street, Sacramento, CA 95823-2601 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343422 | Renee Yvonne Friesner | Registered Nurse | 6965 65th Street, Sacramento, CA 95823 | 2020-10-12 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1114562766 | Daniel & Max, LLC | Optometrist | 4200 Florin Road, Suite C, Florin, CA 95823 | 2019-11-07 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1306316880 | Evin Johnson | Case Manager/Care Coordinator | 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 | 2018-11-28 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1891298923 | Nicholas Joseph Henderson | Behavior Technician | 6500 47th Street Apt#76, Sacramento, CA 95823 | 2018-03-15 |
| 1427567098 | Luz Maria Udave | Behavior Technician | 5435 Mack Rd Apt 87, Sacramento, CA 95823 | 2017-09-26 |
| 1417474743 | Elizabeth Smithers | Behavior Technician | 5545 Sky Parkway #202, Sacramento, CA 95823 | 2017-08-28 |
| Find all providers in zip 95823 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982088365 | Center for Interventional Spine, A Medical Corporation | Non-Pharmacy Dispensing Site | 1817 Professional Drive, Sacramento, CA 95825 | 2015-07-15 |
| 1336527597 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 3234 Marysville Blvd, Sacramento, CA 95815-1411 | 2015-05-08 |
| 1699153858 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 6339 Mack Rd, Sacramento, CA 95823-4655 | 2015-05-08 |
| 1881072049 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 3946 Norwood Ave, Sacramento, CA 95838-3300 | 2015-05-08 |
| 1043612732 | Alok Krishna Md | Non-Pharmacy Dispensing Site | 87 Scripps Dr, Suite 210, Sacramento, CA 95825-6372 | 2014-09-24 |
| 1578965315 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 7215 55th St, Sacramento, CA 95823-2601 | 2014-09-24 |
| 1295145670 | Dawei Zheng Md A Professional Medical Corp | Non-Pharmacy Dispensing Site | 8701 Center Pkwy, Suite 170, Sacramento, CA 95823-7918 | 2014-05-06 |
| 1851718175 | Tri-dung G Hoang Md Incorporated | Non-Pharmacy Dispensing Site | 6540 Stockton Blvd, Suite 3a, Sacramento, CA 95823-1635 | 2014-03-25 |
| 1962823781 | Associated Family Physicians Inc | Non-Pharmacy Dispensing Site | 8110 Timberlake Way, Sacramento, CA 95823-5401 | 2013-12-20 |
| 1356516108 | Mercy Medical Group, Inc. | Non-Pharmacy Dispensing Site | 3160 Folsom Blvd, 1st Flr, Sacramento, CA 95816-5219 | 2008-04-23 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
Please comment or provide details below to improve the information on MOLINA HEALTHCARE OF CALIFORNIA.
| 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.