Organization Active NPI

Women'S Healthcare Image, LLC

  • Durable Medical Equipment & Medical Supplies
  • Sacramento, CA
National Provider Identifier
1629131842
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WOMEN'S HEALTHCARE IMAGE, LLC
Practice address
5283 Folsom Blvd
Sacramento, CA 95819-4546
Phone
(916) 451-6000
Fax
(916) 471-0399
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Authorized official

Name
Mrs. Erica Celeste Walker, CMFNPI 1538926571
Title
Member
Phone
(916) 451-6000

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
Durable Medical Equipment & Medical Supplies 332B00000X CA Primary

Addresses

Primary practice location

5283 Folsom Blvd
Sacramento, CA 95819-4546

Mailing address

5283 Folsom Blvd
Sacramento, CA 95819-4546
Phone (916) 451-6000

Other practice location 1

5282 Elvas Ave
Sacramento, CA 95819-2332
Phone (916) 451-6000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930098390 CA DME Supplier - Prosthetic Personnel 2062614589 Practice locations: Sacramento, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Womens Healthcare Image5283 Folsom Blvd, Sacramento, CA 95819-4546(916) 451-6000 Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since May 25, 2006

National Provider Directory

National Provider Directory

Locations

5282 Elvas Ave
Sacramento, CA 95819
Phone (916) 254-2100

5283 Folsom Blvd
Sacramento, CA 95819
Phone (916) 451-6000

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1629131842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5283 FOLSOM BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958194546",
            "telephone_number": "916-451-6000",
            "fax_number": "916-471-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5283 FOLSOM BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958194546",
            "telephone_number": "916-451-6000",
            "fax_number": "916-471-0399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5282 Elvas Ave",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958192332",
            "country_code": "US",
            "telephone_number": "916-451-6000",
            "fax_number": "916-471-0399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WOMEN'S HEALTHCARE IMAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "CELESTE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "916-451-6000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMF"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.