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ELICA HEALTH CENTERS - MIDTOWN MEDICAL CENTERS
NPI 1093974065
Clinic/Center - Federally Qualified Health Center (FQHC) in Sacramento, CA

Active since June 05, 2008CLIA Certified · 12 labs
3701 J ST STE 201, SACRAMENTO, CA 95816(916) 454-2345(916) 457-2667 Get Directions Write a Review

NPPES record last updated: February 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 18, 2022, Jan 28, 2021, Aug 14, 2019 and 3 more (6 updates tracked since 2016).

About Elica Health Centers - Midtown Medical Centers NPPES

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

ELICA HEALTH CENTERS - MIDTOWN MEDICAL CENTERS (NPI 1093974065) is a healthcare organization registered as a federally qualified health center (fqhc) in Sacramento, California and active in the NPI registry since June 2008. The organization holds 12 active CLIA laboratory certificates and lists Tatyana Bak, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093974065
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameELICA HEALTH CENTERS
Location Address3701 J ST STE 201Sacramento, CA 95816-5542
Mailing Address1860 Howe Ave Ste 440Sacramento, CA 95825-1098 · (916) 569-8484 · Fax (916) 256-2214
Phone(916) 454-2345
Fax(916) 457-2667
Organization SubpartYes
Authorized OfficialTatyana BakCeo · (916) 569-8484
Enumeration DateJune 5, 2008
Last NPPES UpdateFebruary 18, 20226 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2022
✔ NPI 1093974065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
3701 J ST STE 201, Sacramento, CA 95816
Open in Google Maps ↗

Other Names 1

Other NameElica Health Centers - Midtown Medical Centers

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 14

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 05D2246803

Elica Health Centers Health On Wheels (vin#4uzadfdtoecft9304) · Sacramento, CA
Active · expires Dec 28, 2027
CLIA Number05D2246803
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 29, 2025
Certificate Expiration DateDecember 28, 2027
Laboratory DirectorBryan K. Lee
Laboratory Phone(916) 454-2345
Laboratory LocationElica Health Centers Health On Wheels (vin#4uzadfdtoecft9304)3701 J Street Suite 201 (van #1), Sacramento, CA 95816
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D1093423

Elica Health Centers · Sacramento, CA
Active · expires Dec 1, 2027
CLIA Number05D1093423
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 2, 2025
Certificate Expiration DateDecember 1, 2027
Laboratory DirectorBryan K. Lee
Laboratory Phone(916) 454-2345
Laboratory LocationElica Health Centers3701 J Street, Ste 201, Sacramento, CA 95816
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2258571

Elica Health Centers- Halyard Medical Center · West Sacramento, CA
Active · expires Apr 21, 2028
CLIA Number05D2258571
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorBryan Keith Lee
Laboratory Phone(916) 454-2345
Laboratory LocationElica Health Centers- Halyard Medical Center1276 Halyard Dr, West Sacramento, CA 95691
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2180682

Elica Health Centers On Wheels 3 (vin #4uzacmfc8jckg6989) · West Sacramento, CA
Active · expires Mar 17, 2028
CLIA Number05D2180682
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 18, 2026
Certificate Expiration DateMarch 17, 2028
Laboratory DirectorBryan K. Lee
Laboratory Phone(916) 454-2345
Laboratory LocationElica Health Centers On Wheels 3 (vin #4uzacmfc8jckg6989)1276 Halyard Dr (van #3), West Sacramento, CA 95691
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2270998

Elica Health Centers - Glendale · Sacramento, CA
Active · expires Feb 29, 2028
CLIA Number05D2270998
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorBryan K. Lee
Laboratory Phone(916) 454-2345
Laboratory LocationElica Health Centers - Glendale2400 Glendale Ln, Sacramento, CA 95825
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 05D2246801

Elica Health Centers Health On Wheels - 2 (vin# Ifdnf6dc2da03427) · West Sacramento, CA
Active · expires Dec 28, 2027
CLIA Number05D2246801
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 29, 2025
Certificate Expiration DateDecember 28, 2027
Laboratory DirectorBryan K. Lee
Laboratory Phone(916) 454-2345
Laboratory LocationElica Health Centers Health On Wheels - 2 (vin# Ifdnf6dc2da03427)1276 Halyard Drive (van #2), West Sacramento, CA 95691
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MIWAKO OHARA-HSU M.D.
Internal Medicine
3701 J ST STE 201
SACRAMENTO, CA 95816
Sacramento County (916) 454-2345
VESNA S SWANSON FNP
Nurse Practitioner (Family)
3701 J ST STE 201
SACRAMENTO, CA 95816
Sacramento County (916) 454-2345
ZACHARY SIMPSON CONROY-SALMASSY FNP-C
Nurse Practitioner (Family)
3701 J ST STE 201
SACRAMENTO, CA 95816
Sacramento County (916) 454-2345
DR. SADEGH SAKI M.D.
General Practice
3701 J ST STE 201
SACRAMENTO, CA 95816
Sacramento County (855) 354-2242
REBEKAH JEEHAE KIM D.O.
Pediatrics
3701 J ST STE 201
SACRAMENTO, CA 95816
Sacramento County (916) 454-2345
MELISA J MOLINA FNP-BC
Nurse Practitioner
3701 J ST STE 201
SACRAMENTO, CA 95816
Sacramento County (855) 354-2242
CARISSA ALENA CARYOTAKIS N.P.
Nurse Practitioner
3701 J ST STE 201
SACRAMENTO, CA 95816
Sacramento County (855) 354-2242
MRS. ELAINE I LUNDY M.D.
Family Medicine
3701 J ST STE 201
SACRAMENTO, CA 95816
Sacramento County (916) 454-2345

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 Elica Health Centers's NPI number?

The NPI number for Elica Health Centers is 1093974065. It was assigned to this organization in the NPPES registry on June 5, 2008. The provider is also known as Elica Health Centers - Midtown Medical Centers.

Where is Elica Health Centers located?

Elica Health Centers is located at 3701 J St Ste 201, Sacramento, CA 95816. The listed phone number is (916) 454-2345.

What is Elica Health Centers's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Elica Health Centers hold CLIA laboratory certificates?

Yes. 12 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Elica Health Centers was last updated on February 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.