NPIMap

Dignity Health Medical Foundation

Organization Active NPI Multi-Specialty Clinic/Center · Sacramento, CA

NPI 1700803418 · NPPES record last updated Nov 18, 2020

Key facts

NPI
1700803418
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
Legal business name
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
Organization subpart
Yes
Parent organization (as reported)
DIGNITY HEALTH MEDICAL FOUNDATION

Authorized official

Name
Theresa M Hylen
Title
Chief Financial Officer
Phone
(916) 851-2559

Other NPIs on the same Medicare enrollment 3

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

Member of 2

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

Practitioners 1,435

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

View all 1,435

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0911593Dignity Health Medical Foundation
3000 Q Street, Floors 1-6, Sacramento, CA 95816		Provider-performed microscopyFeb 8, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled (4 enrollments) in CA, FL, CO, MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031107000709 CA Part B Supplier - Clinic/Group Practice 7810800661 Receives reassigned benefits from 1,333 practitioners
O20240730003331 FL Part B Supplier - Clinic/Group Practice 7810800661 Receives reassigned benefits from 3 practitioners
3 other NPIs on this enrollment
Practice locations: Boca Raton, FL; Lighthouse Point, FL; Weston, FL
O20250411001365 CO Part B Supplier - Clinic/Group Practice 7810800661 Receives reassigned benefits from 2 practitioners
3 other NPIs on this enrollment
Practice locations: Colorado Springs, CO; Denver, CO
O20250604004268 MI Part B Supplier - Clinic/Group Practice 7810800661 Receives reassigned benefits from 2 practitioners
3 other NPIs on this enrollment
Practice locations: Saline, MI; Northville, MI

National Provider Directory

Part of
Woodland Clinic Med GRP

Locations (25 of 38)

3427 Robin Ln
Cameron Park, CA 95682
Phone (530) 676-7337

6555 Coyle Ave
Ste 215
Carmichael, CA 95608
Phone (916) 536-2449

6401 Coyle Ave
Ste 411
Carmichael, CA 95608

6555 Coyle Ave
Ste 391
Carmichael, CA 95608
Phone (916) 967-7815

6511 Coyle Ave
Carmichael, CA 95608
Phone (916) 537-5470

6401 Coyle Ave
Ste 410
Carmichael, CA 95608
Phone (916) 866-9223

6555 Coyle Ave
Ste 210
Carmichael, CA 95608
Phone (916) 536-3540

6401 Coyle Ave
Ste 416
Carmichael, CA 95608
Phone (916) 966-3501

6403 Coyle Ave
Fl 2
Carmichael, CA 95608
Phone (916) 962-8967

6511 Coyle Ave
Ste 200
Carmichael, CA 95608
Phone (916) 863-8750

6660 Coyle Ave
Ste 360
Carmichael, CA 95608
Phone (916) 536-3060

6501 Coyle Ave
Ste 200
Carmichael, CA 95608

6620 Coyle Ave
Carmichael, CA 95608
Phone (916) 316-1074

7115 Greenback Ln
Citrus Heights, CA 95621
Phone (916) 536-3540

7115 Greenback Ln
Fl 2IM
Citrus Heights, CA 95621

1264 Hawks Flight Ct
El Dorado Hills, CA 95762
Phone (916) 939-9773

8220 Wymark Dr
Ste 101
Elk Grove, CA 95757
Phone (916) 667-0750

1635 Creekside Dr
Ste 101
Folsom, CA 95630
Phone (916) 893-5611

1050 Iron Point Rd
#100
Folsom, CA 95630

150 Catherine Ln
Grass Valley, CA 95945
Phone (530) 274-6175

1101 W Tokay St
Ste 4
Lodi, CA 95240
Phone (209) 368-9222

3400 Data Dr
Fl 2
Rancho Cordova, CA 95670

550 W Ranch View Dr
Ste 3100
Rocklin, CA 95765

2110 Professional Dr
Roseville, CA 95661
Phone (916) 536-2500

406 Sunrise Ave
Ste 100
Roseville, CA 95661
Phone (916) 733-5336

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD
    Plans: 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)…

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Yes

Addresses

Primary practice location

3000 Q St
Sacramento, CA 95816-7058

Mailing address

PO Box 742016
Los Angeles, CA 90074-2016
Phone (916) 379-2840

Other identifiers

IdentifierTypeStateIssuer
GRE000270MedicaidCA
ZZZ29477ZOtherBSCA - ALLERGY
ZZZ29475XOtherBSCA - GASTROENTEROLOGY
ZZZ29478ZOtherBSCA - GENERAL SURGERY
GR0050150MedicaidCA
ZZZ29339ZOtherBSCA - PEDIATRICS
ZZZ29468ZOtherBSCA - RHEUMATOLOGY
ZZZ26345ZOtherBSCA - ENDOCRINOLOGY
ZZZ29336ZOtherBSCA - FAMILY PRACTICE
ZZZ29478ZOtherBSCA - URGENT CARE
GSD000840MedicaidCA
ZZZ28115ZOtherBSCA - DOWNTOWN
ZZZ29337ZOtherBSCA - INTERNAL MEDICINE
ZZZ293383OtherBSCA - OBGYN
ZZZ29474ZOtherBSCA - RADIOLOGY
ZZZ29472ZOtherBSCA - UROLOGY
KVYOtherCABLUE CROSS

Other names

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

Other providers in Sacramento, CA

All providers in Sacramento, CA · Multi-Specialty Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.