ELICA HEALTH CENTERS NPI 1770908725

NPI Information

NPI: 1770908725
Provider Name: ELICA HEALTH CENTERS

Other Name: ELICA HEALTH CENTERS - HEALTH ON WHEELS

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
3701 J ST STE 201
SACRAMENTO, CA
ZIP 95816
Phone: (916) 454-2345
Get Directions

ELICA HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Sacramento, CA. ELICA HEALTH CENTERS NPI is 1770908725. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Elica Health Centers - Health On Wheels.

The provider's business location address is:

3701 J ST STE 201
SACRAMENTO, CA
ZIP 95816-542
Phone: (916) 454-2345
Fax: (916) 890-3828

The provider's authorized official is Tatyana Bak .
The authorized official title is Ceo and has the following contact phone number (916) 569-8484.

The enumeration date for this NPI number is 2/27/2014 and was last updated on 3/8/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator				No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		CALIFORNIA	Yes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »