Organization Active NPI

Haumea Medical, Inc.

  • Family Medicine Physician
  • Roseville, CA
National Provider Identifier
1124838891
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HAUMEA MEDICAL, INC.
Practice address
1257 Pleasant Grove Blvd.
Ste 110, RM 9
Roseville, CA 95678
Phone
(916) 980-6814
NPI assigned
Jan 13, 2025
Last updated
Jan 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Ms. Ma. Luz Isabel Molina Molina, NPNPI 1699539940
Title
Manager
Phone
(916) 980-6814

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1257 Pleasant Grove Blvd.
Ste 110, RM 9
Roseville, CA 95678

Mailing address

1257 Pleasant Grove Blvd.
Ste 110, RM 9
Roseville, CA 95678
Phone (916) 980-6814

Other practice location 1

1257 Pleasant Grove Blvd.
Ste 110, Rm 17
Roseville, CA 95678
Phone (916) 980-6814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250305003698 CA Part B Supplier - Clinic/Group Practice 0143741280 Receives reassigned benefits from 4 practitioners
Practice locations: Roseville, CA

National Provider Directory

National Provider Directory

Locations

1257 Pleasant Grove Blvd
Ste 110
Roseville, CA 95678
Phone (916) 980-6814

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1124838891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 PLEASANT GROVE BLVD.",
            "address_2": "STE 110, RM 9",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95678",
            "telephone_number": "916-980-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1257 PLEASANT GROVE BLVD.",
            "address_2": "STE 110, RM 9",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95678",
            "telephone_number": "916-980-6814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1257 Pleasant Grove Blvd.",
            "address_2": "Ste 110, Rm 17",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "95678",
            "country_code": "US",
            "telephone_number": "916-980-6814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAUMEA MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "MA. LUZ ISABEL",
        "authorized_official_middle_name": "MOLINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "916-980-6814",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.