Active NPI
Dignity Health
- Primary Care Clinic/Center
- Sacramento, CA
National Provider Identifier
1003941808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 030000062
- Legal business name
- DIGNITY HEALTH
- Practice address
- 3911 Norwood Ave
Sacramento, CA 95838-3361 - Phone
- (916) 929-8575
- Fax
- (916) 929-3548
- NPI assigned
- Feb 22, 2007
- Organization subpart
- Yes
- Parent organization
- DIGNITY HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bonnie Jenkins
- Title
- Chief Financial Officer
- Phone
- (916) 453-4459
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 030000062 | CA | Primary |
Addresses
Primary practice location
3911 Norwood Ave
Sacramento, CA 95838-3361
Mailing address
3911 Norwood Ave
Sacramento, CA 95838-3361
Phone (916) 929-8575
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 680483801 | Other | IRS | |
| GR0091670 | Medicaid | CA | |
| HSP40017G | Medicaid | CA | |
| 942761692 | Other | IRS |
Other names 1
- MercyClinic Norwood
National Provider Directory
National Provider Directory- Part of
- Catholic Healthcare West
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
3911 Norwood Ave
Sacramento, CA 95838
Phone (916) 929-3548
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0qElfuk7cvLgJndB7hTiCVck6NR0D5uM/
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415664000000",
"number": "1003941808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3911 NORWOOD AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958383361",
"telephone_number": "916-929-8575",
"fax_number": "916-929-3548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3911 NORWOOD AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958383361",
"telephone_number": "916-929-8575",
"fax_number": "916-929-3548"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGNITY HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DIGNITY HEALTH",
"enumeration_date": "2007-02-22",
"last_updated": "2014-11-11",
"status": "A",
"authorized_official_last_name": "JENKINS",
"authorized_official_first_name": "BONNIE",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "916-453-4459"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "CA",
"license": "030000062",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IRS",
"identifier": "680483801",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0091670",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSP40017G",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IRS",
"identifier": "942761692",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MercyClinic Norwood",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.