NPIMap

Organization Active NPI

Telecare Corporation

Doing business as Telecare Renew Fulton Ave

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sacramento, CA
National Provider Identifier
1386973972
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TELECARE CORPORATION
Doing business as
Telecare Renew Fulton Ave
Telecare Sacramento Outreach and Recovery (SOAR)
Practice address
900 Fulton Ave
Suite 205
Sacramento, CA 95825-4500
Phone
(916) 484-3570
Fax
(916) 484-3577
NPI assigned
Dec 10, 2009
Last updated
Jul 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Authorized official

Name
Lorena Lopez
Title
Provider Relations Supervisor
Phone
(510) 292-7024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

900 Fulton Ave
Suite 205
Sacramento, CA 95825-4500

Mailing address

1080 Marina Village Pkwy Ste 100
Alameda, CA 94501-1078
Phone (510) 337-7950

Other names 2

  • Telecare Renew Fulton Ave Doing business as
  • Telecare Sacramento Outreach and Recovery (SOAR) Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070614000167 CA Part B Supplier - Clinic/Group Practice 6901820380 Receives reassigned benefits from 246 practitioners
This NPI is an additional NPI on the enrollment
O20110801000770 CA Part B Supplier - Clinic/Group Practice 0345231247 Receives reassigned benefits from 45 practitioners
23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sacramento, CA; Galt, CA; Rio Linda, CA

Other NPIs on the same Medicare enrollment 23

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 23

National Provider Directory

National Provider Directory
Tax ID family
Sacramento County Fire88 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

7001A East Pkwy
Ste 300
Sacramento, CA 95823
Phone (916) 214-2616

Practitioners & affiliated clinicians

Practitioners 6

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": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1386973972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 MARINA VILLAGE PKWY STE 100",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011078",
            "telephone_number": "510-337-7950",
            "fax_number": "510-337-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 FULTON AVE",
            "address_2": "SUITE 205",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254500",
            "telephone_number": "916-484-3570",
            "fax_number": "916-484-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELECARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "LORENA",
        "authorized_official_title_or_position": "PROVIDER RELATIONS SUPERVISOR",
        "authorized_official_telephone_number": "510-292-7024"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Telecare Renew Fulton Ave",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Telecare Sacramento Outreach and Recovery (SOAR)",
            "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 Jul 7, 2026; 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.