Organization Active NPI

Mercy Healthcare Sacramento

  • Rehabilitation Hospital Unit
  • Sacramento, CA
National Provider Identifier
1093884041
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
MERCY HEALTHCARE SACRAMENTO
Practice address
650 Howe Avenue
Suite 530
Sacramento, CA 95825-4682
Phone
(916) 614-2240
Fax
(916) 564-3160
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael J Uboldi
Title
Hospital President
Phone
(916) 537-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

650 Howe Avenue
Suite 530
Sacramento, CA 95825-4682

Mailing address

650 Howe Avenue
Suite 530
Sacramento, CA 95825-4682
Phone (916) 614-2240

Other identifiers 1

IdentifierTypeStateIssuer
343447OtherCADRUG MEDICAL PROVIDER NUM

Other names 1

  • Mercy Perinatal Recovery Network Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ea - Mercy San Juan3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

650 Howe Ave
Ste 530
Sacramento, CA 95825
Phone (916) 561-2212

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093884041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 HOWE AVENUE",
            "address_2": "SUITE 530",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254682",
            "telephone_number": "916-614-2240",
            "fax_number": "916-564-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HOWE AVENUE",
            "address_2": "SUITE 530",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254682",
            "telephone_number": "916-614-2240",
            "fax_number": "916-564-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTHCARE SACRAMENTO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UBOLDI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "HOSPITAL PRESIDENT",
        "authorized_official_telephone_number": "916-537-5000"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRUG MEDICAL PROVIDER NUM",
            "identifier": "343447",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Perinatal Recovery Network",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.