Hi Care Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A29122 Issued in CA

Legal business name

HI CARE MEDICAL CENTER

Doing business as

Rancho Cordova Community Clinic

Practice address

2001 Zinfandel Dr
Suite B-3
Rancho Cordova, CA 95670-4265

Phone

(916) 638-5572

Fax

(916) 638-5538

NPI assigned

Jun 21, 2006

Last updated

Jul 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Perry Bass, M.D.

Title

Medical Director

Phone

(916) 638-5572

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Rancho Cordova Community Clinic Doing business as

Locations

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1659317295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 ZINFANDEL DR",
            "address_2": "SUITE B-3",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956704265",
            "telephone_number": "916-638-5572",
            "fax_number": "916-638-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 ZINFANDEL DR",
            "address_2": "SUITE B-3",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956704265",
            "telephone_number": "916-638-5572",
            "fax_number": "916-638-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HI CARE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PERRY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "916-638-5572",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A29122",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "C32503",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "C32503",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rancho Cordova Community Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Ann Henderson-Hood, LICSW, MSW
• Lola Henderson
• Michelle Francis Henschel, NP
• Lani Dujon Hermano, PT,RN
• Katherine Maryleen Hernandez
• Kimberly Hickam
• Beverly Hickman, PHARM D
• Shauna Higgins, CPHT
• Deion Hill
• Tonya Lynn Hill, LVN

• Family Medicine Physician in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.