ELICA HEALTH CENTERS - MARYSVILLE
NPI 1346784295
Clinic/Center - Federally Qualified Health Center (FQHC) in Sacramento, CA
NPI Status: Active since December 12, 2016
Contact Information
3234 MARYSVILLE BLVD
SACRAMENTO, CA
ZIP 95815
Phone: (916) 454-2345
Fax: (916) 890-3828
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- CLIA Number: 05D2162294
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 02-19-2027
About ELICA HEALTH CENTERS - MARYSVILLE
This page provides the complete NPI Profile along with additional information for Elica Health Centers - Marysville, a primary care provider established in Sacramento, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1346784295 assigned on December 2016. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Elica Health Centers - Marysville operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Elica Health Centers - Marysville. The authorized official of this NPI record is Tatyana Bak (Ceo)
- NPI
- 1346784295
- Provider Legal Name
- ELICA HEALTH CENTERS
- Other Organization Name
- ELICA HEALTH CENTERS - MARYSVILLE
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 3234 MARYSVILLE BLVD SACRAMENTO, CA 95815
- Location Phone
- (916) 454-2345
- Location Fax
- (916) 890-3828
- Mailing Address
- 1860 HOWE AVE STE 440 SACRAMENTO, CA 95825
- Mailing Phone
- (916) 569-8484
- Mailing Fax
- (916) 890-3828
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 12-12-2016
- Last Update Date
- 03-08-2022
- Code Navigator
A primary care provider (PCP) like Elica Health Centers - Marysville sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| CB101A | OTHER (01) | MEDICARE PART B |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2162294
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- February 20, 2025
- Certificate Expiration Date
- February 19, 2027
- Laboratory Director
- BRYAN K. LEE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Elica Health Centers - Marysville to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for ELICA HEALTH CENTERS - MARYSVILLE
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 4 | 6 | 7 | 8 | 4 | 2 | 9 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 8 | 6 | 14 | 8 | 8 | 2 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 8 + 6 + 1 + 4 + 8 + 8 + 2 + 1 + 8 + 24 = 75 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 75 = 5 | 5 | ||||||||
The NPI number 1346784295 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1841305075 | MOLINA HEALTHCARE OF CALIFORNIA Organization | Family Medicine | 3234 MARYSVILLE BLVD SACRAMENTO, CA 95815 (916) 646-1200 |
| 1467677104 | KRISTINE L GARCIA LM Individual | Midwife | 3234 MARYSVILLE BLVD SACRAMENTO, CA 95815 (916) 706-7480 |
| 1386809317 | BIRTH AND FAMILY HEALTH CENTER Organization | Clinic/Center (Family Planning, Non-Surgical) | 3234 MARYSVILLE BLVD SACRAMENTO, CA 95815 (916) 646-8000 |
| 1639492390 | EFFORT,INC Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 3234 MARYSVILLE BLVD SACRAMENTO, CA 95815 (916) 646-8000 |
| 1245341189 | MS. CINDA LEE TEJERAS LCSW Individual | Social Worker | 3234 MARYSVILLE BLVD SACRAMENTO, CA 95815 (916) 646-1200 |
| 1821061680 | YELENA M. POPOVA PAC Individual | Physician Assistant | 3234 MARYSVILLE BLVD SACRAMENTO, CA 95815 (916) 646-1200 |
| 1336527597 | JOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CALIFORNIA Organization | Non-Pharmacy Dispensing Site | 3234 MARYSVILLE BLVD SACRAMENTO, CA 95815 (916) 646-1200 |
| 1871913574 | SANSHA CLEMENT FNP Individual | Nurse Practitioner (Family) | 3234 MARYSVILLE BLVD SACRAMENTO, CA 95815 (916) 646-1200 |
| 1326451592 | JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA Organization | Family Medicine | 3234 MARYSVILLE BLVD SACRAMENTO, CA 95815 (916) 646-1200 |
| 1053767434 | ELAINE SHAN M.D. Individual | Pediatrics | 3234 MARYSVILLE BLVD SACRAMENTO, CA 95815 (918) 407-2495 |
| 1932536026 | MICHELLE LOUISE SEPE LCSW, PPSC Individual | Social Worker (Clinical) | 3234 MARYSVILLE BLVD SACRAMENTO, CA 95815 (855) 354-2242 |
| 1427135623 | DR. MACHON RAYE WALKER DDS Individual | Dentist | 3234 MARYSVILLE BLVD SACRAMENTO, CA 95815 (855) 354-2242 |
| 1669613378 | SARA MARIE MAYA FNP, MPH Individual | Nurse Practitioner (Family) | 3234 MARYSVILLE BLVD SACRAMENTO, CA 95815 (916) 454-2345 |
| 1871091108 | KENDALL ANNE OUZTS FNP Individual | Nurse Practitioner (Family) | 3234 MARYSVILLE BLVD SACRAMENTO, CA 95815 (855) 354-2242 |
| 1306409586 | ANDREW DAVID BOWMAN MD Individual | Pediatrics | 3234 MARYSVILLE BLVD SACRAMENTO, CA 95815 (916) 454-2345 |
| 1508599648 | YETZENIA MOURA FNP Individual | Nurse Practitioner (Family) | 3234 MARYSVILLE BLVD SACRAMENTO, CA 95815 (916) 454-2345 |
| 1255053286 | HALIFU OSAMURE PRINCE Individual | Counselor | 3234 MARYSVILLE BLVD SACRAMENTO, CA 95815 (916) 454-2345 |
| 1609540103 | OLENA POINDEXTER NP Individual | Nurse Practitioner (Family) | 3234 MARYSVILLE BLVD SACRAMENTO, CA 95815 (916) 454-2345 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346784295, enumerated in the NPI registry as an "organization" on December 12, 2016
The provider is located at 3234 Marysville Blvd Sacramento, Ca 95815 and the phone number is (916) 454-2345
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 05D2162294 for a "federally qualified health center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on December 12, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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