DIGNITY HEALTH MEDICAL FOUNDATION (NPI# 1912021163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912021163 |
| Entity Type | Organization |
| Organization Name | DIGNITY HEALTH MEDICAL FOUNDATION |
| Other Organization Name | MERCY MEDICAL GROUP, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION |
| Practice Address |
8120 Timberlake Way Sacramento CA 95823-5412 |
| Mailing Address |
Po Box 60000 File #72938 San Francisco CA 94160-2938 |
| Practice Telephone | 9166816000 |
| Practice Fax Number | 9166816135 |
| Mailing Telephone | 9167333397 |
| Enumeration Date | 2007-03-16 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTH NET | 195 | 01 | |
| CA | GR0050151 | 05 | |
| BLUE SHIELD | ZZZ43962Z | 01 | |
| DME SUPPLIER # | 476040022 | 01 | |
| BLUE CROSS | KYR | 01 | |
| CIGNA | 0019838 | 01 | |
| HEALTH NET | 983 | 01 |
| Other Name | Type Code |
|---|---|
| Mercy Medical Group, a service of Dignity Health Medical Foundation | 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 |
| 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 |
| 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 |
8120 TIMBERLAKE WAY |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823-5412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013911866 | Christina Vogel | Optometrist | 8120 Timberlake Way, Ste 211, Sacramento, CA 95823-5414 | 2005-06-09 |
| 1518498815 | Adventist Health Physicians Network | Orthopaedic Surgery | 8120 Timberlake Way, #112, Sacramento, CA 95823-5412 | 2017-03-27 |
| 1427417559 | Timberlake Family Practice A Medical Corporation | Clinic/Center | 8120 Timberlake Way, #207, Sacramento, CA 95823-5412 | 2016-02-17 |
| 1689094252 | Jennifer Chang | Optometrist | 8120 Timberlake Way, Ste 211, Sacramento, CA 95823-5412 | 2014-04-23 |
| 1114360245 | Natalie Wessel Bulock | Obstetrics & Gynecology | 8120 Timberlake Way, Suite 102, Sacramento, CA 95823 | 2013-04-08 |
| 1801139175 | Gabriel Jacob Md, A Medical Corporation | Ophthalmology | 8120 Timberlake Way, Suite 211, Sacramento, CA 95823-5412 | 2013-04-04 |
| 1396033882 | Northern California Surgical Associates, Inc. | Surgery | 8120 Timberlake Way, Suite 109, Sacramento, CA 95823-5412 | 2011-07-18 |
| 1285936757 | Ushir V Patel | Internal Medicine | 8120 Timberlake Way, Sacramento, CA 95823-5412 | 2010-12-03 |
| 1437467891 | Steven J Barad Md Inc | Orthopaedic Surgery | 8120 Timberlake Way, Suite 112, Sacramento, CA 95823-5412 | 2010-09-20 |
| 1679801955 | Erin Therese Arieas | Nurse Practitioner | 8120 Timberlake Way, Suite 107, Sacramento, CA 95823-5412 | 2009-11-25 |
| Find all providers in the same location | ||||
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093184244 | Bethel Averbeck Md A Professional Medical Corporation | Clinic/Center | 400 Capitol Mall, 22nd Floor, Sacramento, CA 95814-4407 | 2015-09-17 |
| 1801438015 | Rasnow Integrative Wellness Inc | Clinic/Center | 1102 Corporate Way, St 170, Sacramento, CA 95831 | 2019-10-09 |
| 1932691797 | Vascular Institute of Northern California A Podiatry Corporation | Clinic/Center | 500 University Ave Ste 250, Sacramento, CA 95825-6525 | 2018-06-06 |
| 1003267196 | Sutter Bay Medical Foundation | Clinic/Center | 1315 Alhambra Blvd Ste 210, Sacramento, CA 95816-5246 | 2016-06-29 |
| 1013355585 | Health and Life Organization, Inc. | Clinic/Center | 7551 Timberlake Way, Suite# 240, Sacramento, CA 95823-5420 | 2013-06-06 |
| 1033553425 | Uc Davis Health System | Clinic/Center | 2315 Stockton Blvd, Sesp Op160, Sacramento, CA 95817-2201 | 2013-04-29 |
| 1861795320 | Dignity Health Medical Foundation | Clinic/Center | 3941 J St, Suite 270, Sacramento, CA 95819-3624 | 2010-12-06 |
| 1437488715 | Dignity Community Care | Clinic/Center | 7601 Hospital Dr, Suite 103, Sacramento, CA 95823 | 2009-12-15 |
| 1770725863 | Dignity Health Medical Foundation | Clinic/Center | 3911 Norwood Ave, Sacramento, CA 95838-3361 | 2009-04-03 |
| 1578728077 | Regents of The University of Ca | Clinic/Center | 2521 Stockton Blvd, Ste. 5200, Sacramento, CA 95817-2207 | 2008-07-23 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
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.