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HAUMEA MEDICAL, INC.
NPI 1124838891
Family Medicine in Roseville, CA

Active since January 13, 2025
1257 PLEASANT GROVE BLVD., STE 110, RM 9, ROSEVILLE, CA 95678(916) 980-6814 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Haumea Medical, Inc. NPPES

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

HAUMEA MEDICAL, INC. (NPI 1124838891) is a healthcare organization registered as a family medicine in Roseville, California and active in the NPI registry since January 2025. The organization maintains a secondary practice location in Roseville and lists Ma. Luz Isabel Molina Molina, Manager, as its authorized official.

NPPES Registry Identity

NPI1124838891
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHAUMEA MEDICAL, INC.
Location Address1257 PLEASANT GROVE BLVD., STE 110, RM 9Roseville, CA 95678
Mailing Address1257 Pleasant Grove Blvd., Ste 110, Rm 9Roseville, CA 95678 · (916) 980-6814
Phone(916) 980-6814
Organization SubpartNo
Authorized OfficialMa. Luz Isabel Molina MolinaManager · (916) 980-6814
Enumeration DateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
✔ NPI 1124838891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1257 PLEASANT GROVE BLVD., Roseville, CA 95678
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Secondary Practice Location 1

Location 11257 Pleasant Grove Blvd., Ste 110, Rm 17Roseville, CA 95678 · Phone (916) 980-6814

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haumea Medical, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Haumea Medical, Inc., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Ma Luz Isabel Molina, PMHNP
Nurse Practitioner
NPI 1699539940
1720 R ST UNIT 409
Sacramento, CA 95811
(916) 980-6814
✔ PECOS✔ Accepts Medicare13 mi
Ewan Ho, FNP-BC
Nurse Practitioner
NPI 1629836663
650 UNIVERSITY AVE STE 200
Sacramento, CA 95825
(916) 571-5200
✔ PECOS15 mi
Stacey Flores, NP
Nurse Practitioner
NPI 1063294668
877 CEDAR ST STE 150F
Santa Cruz, CA 95060
(831) 610-4034
✔ PECOS130 mi
Jayson Wisk
General Surgery
NPI 1821415944
375 N LA CIENEGA BLVD UNIT 325
West Hollywood, CA 90048
(919) 274-8109
✔ PECOS✔ Accepts Medicare363 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Haumea Medical, Inc.'s NPI number?

The NPI number for Haumea Medical, Inc. is 1124838891. It was assigned to this organization in the NPPES registry on January 13, 2025.

Where is Haumea Medical, Inc. located?

Haumea Medical, Inc. is located at 1257 Pleasant Grove Blvd. Ste 110, Rm 9, Roseville, CA 95678. The listed phone number is (916) 980-6814.

What is Haumea Medical, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Haumea Medical, Inc. enrolled in Medicare?

Yes. Haumea Medical, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Haumea Medical, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Haumea Medical, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and General Surgery (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Haumea Medical, Inc. was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.