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DIGNITY HEALTH MEDICAL FOUNDATION NPI 1174531859


NPI Information

NPI: 1174531859
Provider Name: DIGNITY HEALTH MEDICAL FOUNDATION

Doing Business As: DIGNITY HEALTH MEDICAL GROUP - SEQUOIA, A SERVICE OF DIGNITY HEALTH ME

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 05D1055264

Address:
1301 SHOREWAY RD
SUITE 100
BELMONT, CA
ZIP 94002
Phone: (650) 596-7000
Get Directions

DIGNITY HEALTH MEDICAL FOUNDATION is a multi-specialty clinic center in Belmont, CA. DIGNITY HEALTH MEDICAL FOUNDATION NPI is 1174531859. The provider is registered as an organization entity type.
The provider Is Doing Business As Dignity Health Medical Group - Sequoia, A Service Of Dignity Health Me.

The provider's business location address is:

1301 SHOREWAY RD
SUITE 100
BELMONT, CA
ZIP 94002-151
Phone: (650) 596-7000

The provider's authorized official is Theresa M Hylen .
The authorized official title is Chief Financial Officer and has the following contact phone number (916) 851-2559.

The CLIA number assigned to this NPI record is 05D1055264 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/4/2006 and was last updated on 11/18/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtyYes
2261QU0200XClinic/CenterUrgent CareNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ66458ZOTHERCALIFORNIABLUE SHIELD
2113737342OTHERIRS - SP TAX ID
34601OTHERHEALTHNET

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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