NPIMap

Organization Active NPI

Senior Care Clinic House Calls

  • General Practice Physician
  • Lincoln, CA
National Provider Identifier
1821409178
Registry record updated Jun 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
FNP543348 Issued in CA
Legal business name
SENIOR CARE CLINIC HOUSE CALLS
Practice address
89 Lincoln Blvd
Suite 100
Lincoln, CA 95648-6315
Phone
(916) 543-1593
NPI assigned
May 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2020

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

Authorized official

Name
Ron Billano OrdonaNPI 1184050171
Title
Clinician Team Lead
Phone
(916) 543-1593

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X FNP543348 CA Primary
Primary Care Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP2300X FNP543348 CA

Addresses

Primary practice location

89 Lincoln Blvd
Suite 100
Lincoln, CA 95648-6315

Mailing address

89 Lincoln Blvd
Suite 100
Lincoln, CA 95648-6315
Phone (916) 543-1593

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170427002390 CA Part B Supplier - Clinic/Group Practice 4981981032 Receives reassigned benefits from 4 practitioners
Practice locations: Sacramento, CA

National Provider Directory

National Provider Directory

Locations

89 Lincoln Blvd
Ste 100
Lincoln, CA 95648
Phone (916) 223-0150

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/f49f56a0-22e5-41d6-9c30-0e95cf63cef7/

Practitioners & affiliated clinicians

Practitioners 5

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": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592697600000",
    "number": "1821409178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 LINCOLN BLVD",
            "address_2": "SUITE 100",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956486315",
            "telephone_number": "916-543-1593",
            "fax_number": "877-466-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 LINCOLN BLVD",
            "address_2": "SUITE 100",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956486315",
            "telephone_number": "916-543-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE CLINIC HOUSE CALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "last_updated": "2020-06-21",
        "certification_date": "2020-06-21",
        "status": "A",
        "authorized_official_last_name": "ORDONA",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "BILLANO",
        "authorized_official_title_or_position": "CLINICIAN TEAM LEAD",
        "authorized_official_telephone_number": "916-543-1593"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "FNP543348",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "FNP543348",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.