NPIMap

Organization Active NPI

Misi Community Solutions LLC

Doing business as MISI Community Solutions

  • Case Manager/Care Coordinator
  • Roseville, CA
National Provider Identifier
1164131702
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
MISI COMMUNITY SOLUTIONS LLC
Doing business as
MISI Community Solutions
Practice address
101 Creekside Ridge CT Ste 215
Roseville, CA 95678-3595
Phone
(916) 659-0003
Fax
(916) 514-5525
NPI assigned
Nov 22, 2022
Last updated
Apr 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Yelena Obutkova
Title
Part Owner
Phone
(916) 826-4665

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NU Primary
Supports Brokerage Agency 251X00000X NU

Addresses

Primary practice location

101 Creekside Ridge CT Ste 215
Roseville, CA 95678-3595

Mailing address

8815 Bella Terra PL
Granite Bay, CA 95746-8850
Phone (916) 826-4665

Other practice location 1

2033 Howe Ave Ste 165
Sacramento, CA 95825-0100
Phone (916) 659-0003

Other names 1

  • MISI Community Solutions Doing business as

National Provider Directory

National Provider Directory

Locations

101 Creekside Ridge Ct
Ste 215
Roseville, CA 95678
Phone (916) 659-0003

2033 Howe Ave
Ste 165
Sacramento, CA 95825
Phone (916) 659-0003

Practitioners & affiliated clinicians

Practitioners 12

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": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1164131702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8815 BELLA TERRA PL",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957468850",
            "telephone_number": "916-826-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CREEKSIDE RIDGE CT STE 215",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956783595",
            "telephone_number": "916-659-0003",
            "fax_number": "916-514-5525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2033 Howe Ave Ste 165",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958250100",
            "country_code": "US",
            "telephone_number": "916-659-0003",
            "fax_number": "916-514-5525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MISI COMMUNITY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "OBUTKOVA",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "916-826-4665"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MISI Community Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 16, 2026; 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.