Organization Active NPI

Full Circle Health Network

  • Supports Brokerage Agency
  • Sacramento, CA
National Provider Identifier
1689375230
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
Legal business name
FULL CIRCLE HEALTH NETWORK
Practice address
2201 K St
Sacramento, CA 95816-4922
Phone
(916) 449-2272
Fax
(916) 449-2294
NPI assigned
Mar 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Camille Schraeder
Title
Executive Director
Phone
(916) 995-0053

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Supports Brokerage Agency 251X00000X Primary

Addresses

Primary practice location

2201 K St
Sacramento, CA 95816-4922

Mailing address

2201 K St
Sacramento, CA 95816-4922
Phone (916) 995-0053

Other names 1

  • Full Circle Health Network Doing business as

National Provider Directory

National Provider Directory

Locations

2201 K St
Sacramento, CA 95816
Phone (916) 449-2272

Practitioners & affiliated clinicians

Practitioners 2

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": "1678406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1689375230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 K ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164922",
            "telephone_number": "916-995-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 K ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164922",
            "telephone_number": "916-449-2272",
            "fax_number": "916-449-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-10",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "SCHRAEDER",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-995-0053"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Circle Health Network",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Full Circle Health Network",
            "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 Dec 17, 2024; 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.