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DIGNITY HEALTH MEDICAL FOUNDATION
NPI 1003504424
Clinic/Center - Multi-Specialty in Rancho Cordova, CA

Active since April 25, 2023CLIA 05D1035319 · Waiver
3400 DATA DR, RANCHO CORDOVA, CA 95670(916) 851-2559 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dignity Health Medical Foundation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIGNITY HEALTH MEDICAL FOUNDATION (NPI 1003504424), doing business as Dignity Health Medical Network - Ventura, is a healthcare organization registered as a multi-specialty in Rancho Cordova, California and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through December 28, 2026 and lists Theresa M Hylen, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1003504424
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameDIGNITY HEALTH MEDICAL FOUNDATION
Location Address3400 DATA DRRancho Cordova, CA 95670-7956
Mailing Address3400 Data DrRancho Cordova, CA 95670-7956 · (916) 851-2559 · Fax (916) 858-6968
Phone(916) 851-2559
Organization SubpartYes
Authorized OfficialTheresa M HylenChief Financial Officer · (916) 851-2559
Enumeration DateApril 25, 2023
NPPES CertifiedApril 13, 2023
✔ NPI 1003504424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
3400 DATA DR, Rancho Cordova, CA 95670
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Other Names 1

Doing Business AsDignity Health Medical Network - Ventura

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1035319

Dignity Health Dba Mercy Hospice · Rancho Cordova, CA
Active · expires Dec 28, 2026
CLIA Number05D1035319
Laboratory TypeHospice
Certificate Effective DateDecember 29, 2024
Certificate Expiration DateDecember 28, 2026
Laboratory DirectorJagmohan Khaira
Laboratory Phone(916) 281-2323
Laboratory LocationDignity Health Dba Mercy Hospice3400 Data Drive, Rancho Cordova, CA 95670
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NANCY F DUNCAN MSW, ACSW
Counselor
3400 DATA DR
RANCHO CORDOVA, CA 95670
Sacramento County (916) 379-2997
ERIN E FALCONER PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3400 DATA DR
RANCHO CORDOVA, CA 95670
Sacramento County (916) 691-8549
DR. BEVERLY HICKMAN PHARM D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3400 DATA DR
RANCHO CORDOVA, CA 95670
Sacramento County (916) 952-8008
MRS. ANN KATHLEEN HATFIELD L.C.S.W.
Social Worker
3400 DATA DR
RANCHO CORDOVA, CA 95670
Sacramento County (916) 379-3033
DR. MAZYAR E AHMADI M.D.
Radiology (Vascular & Interventional Radiology)
3400 DATA DR
RANCHO CORDOVA, CA 95670
Sacramento County (916) 379-2871
DR. JONATHAN MIANO PHARMD
Pharmacist
3400 DATA DR
RANCHO CORDOVA, CA 95670
Sacramento County (916) 379-2500
DR. LISA ARRIOLA PHARMD
Pharmacist
3400 DATA DR
RANCHO CORDOVA, CA 95670
Sacramento County (916) 379-3070
DIGNITY HEALTH MEDICAL FOUNDATION
Clinic/Center (Multi-Specialty)
3400 DATA DR, DHMF BUSINESS OFFICE
RANCHO CORDOVA, CA 95670
Sacramento County (916) 379-2840

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dignity Health Medical Foundation's NPI number?

The NPI number for Dignity Health Medical Foundation is 1003504424. It was assigned to this organization in the NPPES registry on April 25, 2023.

Where is Dignity Health Medical Foundation located?

Dignity Health Medical Foundation is located at 3400 Data Dr, Rancho Cordova, CA 95670. The listed phone number is (916) 851-2559.

What is Dignity Health Medical Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Dignity Health Medical Foundation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1035319) is associated with this NPI, valid through December 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dignity Health Medical Foundation was last updated on April 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.