Organization Active NPI

Precise Med, LLC

  • Home Health Agency
  • Roseville, CA
National Provider Identifier
1366197311
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRECISE MED, LLC
Practice address
970 Reserve Dr Ste 132
Roseville, CA 95678-1377
Phone
(510) 599-8368
NPI assigned
Feb 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Authorized official

Name
Mr. Danforth Christian Cea Mallari, MHA, LNHA, LVN
Title
President & Ceo
Phone
(510) 599-8368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

970 Reserve Dr Ste 132
Roseville, CA 95678-1377

Mailing address

1861 Camino Real Way
Roseville, CA 95747-8430
Phone (510) 599-8368

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231019002052 CA Part A Provider - Home Health Agency 3577919000 Practice locations: Roseville, CA

Home health agency certification: CCN 757755

Legal name
PRECISE MED, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 5, 2024
Last certification
Aug 5, 2024
Organization structure
LLCProprietary
Incorporated
Dec 15, 2021 in CA
Enrollment address
970 Reserve Dr
Ste 132
Roseville, CA 95678-1377

Care Compare: Home health agency

Medicare Care Compare
Listed as
Precise Med, LLCCCN 757755
Ownership
-
Certified
Aug 5, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1198 Melody Ln
Ste 110
Roseville, CA 95678
Phone (510) 512-8289

970 Reserve Dr
Ste 132
Roseville, CA 95678
Phone (510) 599-8368

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Carmelita Mallari Individual Operational/Managerial ControlNursing/Clinical Manager Apr 12, 2022 100%
Dianne Camille M Requillo Individual 5% Or Greater Direct Ownership Interest Dec 15, 2021 33%
Danforth Christian Mallari Individual 5% Or Greater Direct Ownership InterestPresident and Ceo Feb 1, 2023 33%
Donna Cathleen Mallari Martinez Individual 5% Or Greater Direct Ownership Interest Dec 15, 2021 34%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 2

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

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1366197311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 CAMINO REAL WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957478430",
            "telephone_number": "510-599-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 RESERVE DR STE 132",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781377",
            "telephone_number": "510-599-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISE MED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "MALLARI",
        "authorized_official_first_name": "DANFORTH CHRISTIAN",
        "authorized_official_middle_name": "CEA",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "510-599-8368",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHA, LNHA, LVN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.