Dignity Health Medical Foundation

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

DIGNITY HEALTH MEDICAL FOUNDATION

Doing business as

Mercy Medical Group, a service of Dignity Health Medical Foundation

Practice address

3000 Q St
Sacramento, CA 95816-7058

Phone

(916) 733-3397

Fax

(916) 733-5385

NPI assigned

Jul 17, 2006

Last updated

Nov 18, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

DIGNITY HEALTH MEDICAL FOUNDATIONAs reported in NPPES

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

Authorized official

Name

Theresa M Hylen

Title

Chief Financial Officer

Phone

(916) 851-2559

Specialties & licenses 1

Addresses

Other identifiers 17

Other names 1

• Mercy Medical Group, a service of Dignity Health Medical Foundation Doing business as

Medicare fee-for-service enrollment

Enrolled in CA, FL, CO, MI4 enrollments

Enrollment records 4

Other NPIs on the same Medicare enrollment 3

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

• Dignity Health Medical Foundation

  dba Dignity Health Medical Group - Sierra Nevada, a service of Dignity Hea

  • Multi-Specialty Clinic/Center
  • Grass Valley, CA
  • NPI 1043456106

  O20240730003331, O20250411001365, O20250604004268

  Same enrollment
• Dignity Health Medical Foundation

  dba Dignity Health Medical Group - Dominican, a service of Dignity Health

  • Multi-Specialty Clinic/Center
  • Santa Cruz, CA
  • NPI 1598961245

  O20240730003331, O20250411001365, O20250604004268

  Same enrollment
• Dignity Health Medical Foundation

  dba Dignity Health Medical Group - North State, a service of Dignity Healt

  • Multi-Specialty Clinic/Center
  • Redding, CA
  • NPI 1912288432

  O20240730003331, O20250411001365, O20250604004268

  Same enrollment

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

CLIA laboratory certificates

Part of

Woodland Clinic Med GRP

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Dignity Health

  dba Mercy Memorial Home Health

  • Home Health Agency
  • Bakersfield, CA
  • NPI 1609926765

  Member Of

  NPD member

Locations (25 of 40)

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 1,449

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.

• Sanaz Abderrahmane, M.D.

  • Infectious Disease Physician
  • Sacramento, CA
  • NPI 1902039902
  Medicare reassignment Care Compare group NPD
• Shabana Abdullah Abdulqadir, NP

  • Family Nurse Practitioner
  • Merced, CA
  • NPI 1184372047
  Medicare reassignment Care Compare group NPD
• James K. Abshire, M.D.

  • Internal Medicine Physician
  • Sacramento, CA
  • NPI 1790794972
  Medicare reassignment Care Compare group NPD
• Ethelyne Joyce Araba Acebedo, FNP-BC

  • Family Nurse Practitioner
  • Sacramento, CA
  • NPI 1629653761
  Medicare reassignment Care Compare group NPD
• Paritosh Acharya, NP

  • Gerontology Nurse Practitioner
  • Sacramento, CA
  • NPI 1992511943
  Medicare reassignment Care Compare group NPD
• Marian Elliot Acquistapace, CNM/FNP

  • Advanced Practice Midwife
  • Santa Cruz, CA
  • NPI 1215488226
  Medicare reassignment Care Compare group NPD
• Pratikshya Adhikari, MSN, APRN, FNP-BC

  • Primary Care Nurse Practitioner
  • Sacramento, CA
  • NPI 1083118970
  Medicare reassignment Care Compare group NPD
• Murali D. Adusumalli, M.D.

  • Hospitalist Physician
  • Folsom, CA
  • NPI 1952387953
  Medicare reassignment Care Compare group NPD
• Sundeep Adusumalli, M.D.

  • Cardiovascular Disease Physician
  • Carmichael, CA
  • NPI 1639305295
  Medicare reassignment Care Compare group NPD
• Clariza L Aguillon-Doms, NP

  • Nurse Practitioner
  • Woodland, CA
  • NPI 1174836993
  Medicare reassignment Care Compare group NPD
• Roben Dan Ahdoot, M.D.

  • Diagnostic Radiology Physician
  • Sacramento, CA
  • NPI 1083757132
  Medicare reassignment Care Compare group NPD
• Mazyar E Ahmadi, M.D.

  • Vascular & Interventional Radiology Physician
  • Rancho Cordova, CA
  • NPI 1609008481
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1700803418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742016",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900742016",
            "telephone_number": "916-379-2840",
            "fax_number": "916-859-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 Q ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958167058",
            "telephone_number": "916-733-3397",
            "fax_number": "916-733-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY HEALTH MEDICAL FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIGNITY HEALTH MEDICAL FOUNDATION",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "HYLEN",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "916-851-2559"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GRE000270",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSCA - UROLOGY",
            "identifier": "ZZZ29472Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSCA - ENDOCRINOLOGY",
            "identifier": "ZZZ26345Z",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0050150",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSCA - ALLERGY",
            "identifier": "ZZZ29477Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSCA - URGENT CARE",
            "identifier": "ZZZ29478Z",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD000840",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "KVY",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSCA - RHEUMATOLOGY",
            "identifier": "ZZZ29468Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSCA - GASTROENTEROLOGY",
            "identifier": "ZZZ29475X",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSCA - DOWNTOWN",
            "identifier": "ZZZ28115Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSCA - INTERNAL MEDICINE",
            "identifier": "ZZZ29337Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSCA - FAMILY PRACTICE",
            "identifier": "ZZZ29336Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSCA - RADIOLOGY",
            "identifier": "ZZZ29474Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSCA - OBGYN",
            "identifier": "ZZZ293383",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSCA - PEDIATRICS",
            "identifier": "ZZZ29339Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSCA - GENERAL SURGERY",
            "identifier": "ZZZ29478Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Medical Group, a service of Dignity Health Medical Foundation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Medical Group, a service of Dignity Health Medical Foundation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dignity Health (Bruceville Terrace)
• Dignity Health (Mercy General Hospital)
• Dignity Health Foundation
• Dignity Health Medical Foundation (Children's Rancho Cordova, a service of Dignity Health Medical Foundat)
• Dignity Health Medical Foundation
• Dignity Health Medical Foundation (MercyClinic Norwood, a service of Dignity Health Medical Foundation)
• Dignity Health Medical Foundation (Mercy Medical Group, a service of Dignity Health Medical Foundation)
• Dignity Health Medical Foundation (Mercy Medical Group, a service of Dignity Health Medical Foundation)
• Dignity Health Medical Foundation (Mercy Medical Group, a service of Dignity Health Medical Foundation)
• Dignity Health Medical Foundation (Children's South)

• Multi-Specialty Clinic/Center in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.