Elica Health Centers, NPI 1093974065
Federally Qualified Health Center (FQHC) in Sacramento, CA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1093974065
NPI Entity Type Organization
Provider Name Elica Health Centers
Other Name
Subpart of Organization Elica Health Centers
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 3701 J St Ste 201, Sacramento, CA, US
Provider Mailing Address 1860 Howe Ave Ste 440, Sacramento, CA, US, 958251098
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Tatyana Bak
Official Position CEO
Phone 916-569-8484

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

261QF0400X

Taxonomy Name Federally Qualified Health Center (FQHC)
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

Description Definition to come...

Other Organization Name

Elica Health Centers - Midtown Medical Centers
Other Name

Business Address

Elica Health Centers
3701 J St Ste 201

Sacramento, CA, US

Phone: 916-454-2345
Fax: 916-457-2667

Mailing Address

Elica Health Centers
1860 Howe Ave Ste 440
Sacramento, CA, US
ZIP 958251098
Phone: 916-569-8484
Fax: 916-256-2214

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

171M00000X

Other Service Providers

Case Manager/Care Coordinator

No

Other Providers in CA, US

NPI Name Taxonomy Address

1437888120

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BA SLPA Anna Shurilla

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Keith Chung

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RD, CNSC Jessica Ann Mumaugh

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MS. PA-C Leia Binh Tang

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Mental Health Counselor

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DR. D.C. Julio Cesar Fassino

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Alayne Dhamecha

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Jacqueline Daphnee Surpin

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Kacey Hu

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AMFT Johanna Belen Brubaker

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April Waight

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1200 Concord Ave Ste 100

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1346513611

Catherine S. Montemayor

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LMFT Jeremey Sulker-hall

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M.D., M.P.H. Vivek Datta

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Behavioral Neurology & Neuropsychiatry Physician

2211 Post St Ste 300

San Francisco, CA

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MFT Yasmin Vishram-morris

Individual

Marriage & Family Therapist

9696 Culver Blvd Ste 303

Culver City, CA

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