Active NPI
Truemed Sacramento Inc
- Home Health Agency
- Fair Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- TRUEMED SACRAMENTO INC
- Practice address
- 5330 Primrose Dr Ste 133
Fair Oaks, CA 95628-3541 - Phone
- (916) 379-7790
- NPI assigned
- Dec 19, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter Kozakov
- Title
- Principal Director
- Phone
- (650) 588-8331
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
5330 Primrose Dr Ste 133
Fair Oaks, CA 95628-3541
Mailing address
400 Oyster Point Blvd Ste 201
South San Francisco, CA 94080-1918
Other names 1
- TRUEMED SACRAMENTO
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180510000593 | CA | Part A Provider - Home Health Agency | 1850655275 | Practice locations: Fair Oaks, CA |
Home health agency certification: CCN 559060
- Legal name
- TRUEMED SACRAMENTO INC
- Doing business as
- TRUEMED
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 9, 2019
- Last certification
- Oct 9, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Nov 17, 2015 in CA
- Enrollment address
- 5330 Primrose Dr
Ste 133
Fair Oaks, CA 95628-3541
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Truemed Sacramento
- Overall star rating
- Ownership
- Proprietary
- Certified
- Oct 9, 2019
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
5330 Primrose Dr
Ste 133
Fair Oaks, CA 95628
Phone (916) 379-7790
7529 Sunset Ave
Ste C5
Fair Oaks, CA 95628
Phone (916) 379-7790
400 Oyster Point Blvd
Ste 201
South San Francisco, CA 94080
Phone (650) 588-8331
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Iliya Radinsky | 5% Or Greater Direct Ownership Interest | Nov 17, 2015 | 33.33% |
| Corporate Officer | Nov 17, 2015 | ||
| Peter Kozakov | 5% Or Greater Direct Ownership Interest | Nov 17, 2015 | 33.34% |
| Corporate Officer | Nov 17, 2015 | ||
| W-2 Managing Employee | Nov 17, 2015 | ||
| Simon Gleyzer | 5% Or Greater Direct Ownership Interest | Nov 17, 2015 | 33.33% |
| Corporate Officer | Nov 17, 2015 |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Foot & Ankle Surgery Podiatrist
- Fair Oaks, CA
- NPI 1043589211
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644192000000",
"number": "1245695105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 OYSTER POINT BLVD STE 201",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940801918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5330 PRIMROSE DR STE 133",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956283541",
"telephone_number": "916-379-7790"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUEMED SACRAMENTO INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-19",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A",
"authorized_official_last_name": "KOZAKOV",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "PRINCIPAL DIRECTOR",
"authorized_official_telephone_number": "650-588-8331"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "TRUEMED SACRAMENTO",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "TRUEMED SACRAMENTO",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fair Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.