SUNRISE HEALTH & WELLNESS CENTER, LLC


Address: 10089 Folsom Blvd. Suites A & C, Rancho Cordova, CA 95670-1935
Phone: 9163666531

SUNRISE HEALTH & WELLNESS CENTER, LLC (NPI# 1952809592) 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) 1952809592
Entity Type Organization
Organization Name SUNRISE HEALTH & WELLNESS CENTER, LLC
Practice Address 10089 Folsom Blvd. Suites A & C
Rancho Cordova
CA 95670-1935
Mailing Address Po Box 4057
Stockton
CA 95204-0057
Practice Telephone 9163666531
Enumeration Date 2018-01-29
Last Update Date 2020-10-22
Authorized Official Name ERNEST VASTI (OWNER)
Authorized Official Telephone 2094630891
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0401X Family Medicine
Specialization: Addiction Medicine
G54133 CA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
10089 Folsom Blvd Ste A, Rancho Cordova, CA 956701935 2094630891

Office Location

Street Address 10089 FOLSOM BLVD. SUITES A & C
City RANCHO CORDOVA
State CA
Zip Code 95670-1935

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1710408422 Noemi Colmenares Specialist/Technologist 11100 Coloma Rd., Rancho Cordova, CA 95670 2017-07-03
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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
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Taxonomy Information

Taxonomy Code 207QA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Addiction Medicine

Taxonomy Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205869849 Ernest Joseph Vasti Family Medicine 10089 Folsom Blvd, Suites A & C, Rancho Cordova, CA 95670-1935 2006-07-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194332726 True North Detox LLC Family Medicine 2413 Whitmore Ave, Clovis, CA 93619-9252 2020-09-28
1639717473 Michael Stone Md Inc Family Medicine 1950 E 17th St Ste 101, Santa Ana, CA 92705-6852 2019-12-11
1720624497 Marina Harbor Detox Family Medicine 289 Marina Blvd, San Francisco, CA 94123-1212 2019-11-18
1093363848 Anthony Martin Ocana Family Medicine 13924 Marquesas Way Apt 1520, Marina Del Rey, CA 90292-6018 2019-08-26
1821640137 L Snyder Incorporated Family Medicine 34052 La Plaza #101, Dana Point, CA 92629 2019-07-16
1720645328 Creative Child and Family Services, Inc. Family Medicine 7049 Ohio River Dr, Eastvale, CA 91752 2019-05-20
1932666575 Gold Country Health Initiative, LLC Family Medicine 820/830 State Highway 88, Jackson, CA 95642 2019-03-01
1629550660 University of California Sfgh Medical Group Family Medicine 1001 Potrero Ave Rm 5h22, San Francisco, CA 94110-3518 2018-09-06
1487166120 Good Samaritan Shelter Family Medicine 412 East Tunnell Street, Santa Maria, CA 93454 2017-11-03
1790206761 Recovery Point Acute Care Family Medicine 104b W Morrison Ave, Santa Maria, CA 93458 2017-06-29
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Competitor

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City RANCHO CORDOVA
Zip Code 95670

Improve Information

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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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