MOLINA HEALTHCARE OF CALIFORNIA (NPI# 1952516288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952516288 |
| Entity Type | Organization |
| Organization Name | MOLINA HEALTHCARE OF CALIFORNIA |
| Other Organization Name | MOLINA MEDICAL CENTERS |
| Practice Address |
Molina Medical Centers - Smo 954 Sacramento Avenue W. Sacramento CA 95605-1904 |
| Mailing Address |
Molina Medical Centers - Smo One Golden Shore Long Beach CA 90802-4202 |
| Practice Telephone | 9163731495 |
| Practice Fax Number | 9163730954 |
| 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 | GR004265M | 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 |
| 1679788020 | Molina Healthcare of California | Non-Pharmacy Dispensing Site | Molina Medical Centers - Smo, 7215 55th Street, Sacramento, CA 95823-2601 | 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 954 SACRAMENTO AVENUE |
| City | W. SACRAMENTO |
| State | CA |
| Zip Code | 95605-1904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551502 | Bridgecare Solutions Are LLC | Nurse Practitioner | 612 Watercolor Lane, West Sacramento, CA 95605 | 2020-06-02 |
| 1104316413 | West Sacramento Nursing and Rehabilitation Center | Nursing Facility/Intermediate Care Facility | 751 Elm Street, West Sacramento, CA 95605 | 2018-05-11 |
| 1760735336 | Kaplan Alexander Dental Corporation | Dentist | 759 Ikea Ct, 110, West Sacramento, CA 95605 | 2012-10-19 |
| 1558616912 | David Anthony Cardenas | Counselor | 540 Kegle Dr, Sacrament, CA 95605 | 2012-07-20 |
| 1124304811 | Marc Aaron Scharbrough | Social Worker | 500 Jefferson Blvd #b150, West Sacramento, CA 95605 | 2011-10-26 |
| 1750663308 | Alexandra Gabrielle Garton | Marriage & Family Therapist | 500b Jefferson Blvd., Suite 195, West Sacramento, CA 95605 | 2011-09-09 |
| 1891093902 | Tegwin Millard | Counselor | 500b Jefferson Blvd Ste 195, West Sacramento, CA 95605 | 2011-03-14 |
| 1962639005 | Beverley Elizabeth Calderone | Psychologist | 500-b Jefferson Boulevard, Suite 150, West Sacramento, CA 95605 | 2009-06-16 |
| 1164671616 | Lien Pham Xi | Marriage & Family Therapist | 500 Jefferson Blvd Ste B, West Sacramento, CA 95605 | 2008-09-09 |
| 1497968960 | Holly Lenore Smith | Registered Nurse | Yolo County Health Dept., 500 B Jefferson Blvd., Suite 170, West Sacramento, CA 95605 | 2007-05-08 |
| Find all providers in zip 95605 | ||||
| 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 |
|---|---|---|---|---|
| 1982225496 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 5757 Pacific Ave Ste 228, Stockton, CA 95207-5159 | 2020-05-06 |
| 1285268391 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 1337 S Lovers Ln Ste D, Visalia, CA 93292-5249 | 2020-02-27 |
| 1790327732 | Triumph Specialties LLC | Non-Pharmacy Dispensing Site | 11100 Sepulveda Blvd # 8-519, Mission Hills, CA 91345-1131 | 2019-10-10 |
| 1487210365 | Artius Dermatology Associates P.C. | Non-Pharmacy Dispensing Site | 325 Mall Dr Ste 111, Hanford, CA 93230-5950 | 2019-05-15 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1043719206 | Southern California Orthopedic Institute L.p | Non-Pharmacy Dispensing Site | 4100 Empire Dr Ste 120, Bakersfield, CA 93309-0408 | 2018-02-02 |
| 1174032353 | Golden Gate Urology, Inc. | Non-Pharmacy Dispensing Site | 139 Townsend St Ste 100, San Francisco, CA 94107-1946 | 2017-09-20 |
| 1215462080 | Mas Management Group, Inc. | Non-Pharmacy Dispensing Site | 28446 Constellation Rd, Valencia, CA 91355-5081 | 2017-04-28 |
| 1730624719 | St. John's Well Child and Family Center Inc | Non-Pharmacy Dispensing Site | 326 W 23rd St, Los Angeles, CA 90007-2612 | 2016-12-29 |
| Find all providers with the same taxonomy | ||||
| City | W. SACRAMENTO |
| Zip Code | 95605 |
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| 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.