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ELICA HEALTH CENTERS - MACK ROAD
NPI 1154947711
Clinic/Center - Federally Qualified Health Center (FQHC) in Sacramento, CA

Active since June 19, 2020
6339 MACK RD, SACRAMENTO, CA 95823(916) 454-2345(916) 890-3828 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 8, 2022, Jan 28, 2021, Jun 19, 2020 (3 updates tracked since 2020).

About Elica Health Centers - Mack Road NPPES

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

ELICA HEALTH CENTERS - MACK ROAD (NPI 1154947711) is a healthcare organization registered as a federally qualified health center (fqhc) in Sacramento, California and active in the NPI registry since June 2020. The organization lists Tatyana Bak, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154947711
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameELICA HEALTH CENTERS
Location Address6339 MACK RDSacramento, CA 95823-4655
Mailing Address1860 Howe Ave Ste 440Sacramento, CA 95825-1098 · (916) 569-8484 · Fax (916) 890-3828
Phone(916) 454-2345
Fax(916) 890-3828
Organization SubpartYes
Authorized OfficialTatyana BakCeo · (916) 569-8484
Enumeration DateJune 19, 2020
Last NPPES UpdateMarch 8, 20223 updates tracked since enumeration
NPPES CertifiedMarch 8, 2022
✔ NPI 1154947711 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
6339 MACK RD, Sacramento, CA 95823
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Other Names 1

Other NameElica Health Centers - Mack Road

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

Other Providers at the Same Location NPPES 18

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

ADRIENNE EUSEBIO WOLOWODIUK LCSW
Social Worker
6339 MACK RD
SACRAMENTO, CA 95823
Sacramento County (562) 499-6191
DR. TERRENCE PATRICK REIFF D.D.S.
Dentist
6339 MACK RD
SACRAMENTO, CA 95823
Sacramento County (916) 454-2345
DR. CHARLES IVERSON HOOPER D.O.
Family Medicine
6339 MACK RD
SACRAMENTO, CA 95823
Sacramento County (916) 454-2345
DR. ROBERT F DUFRESNE DDS
Dentist
6339 MACK RD
SACRAMENTO, CA 95823
Sacramento County (916) 454-2345
MRS. ASHLEY MARIE ONGJOCO
Nurse Practitioner
6339 MACK RD
SACRAMENTO, CA 95823
Sacramento County (916) 454-2345
JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA
Family Medicine
6339 MACK RD
SACRAMENTO, CA 95823
Sacramento County (916) 585-7912
MANPREET KAUR D.M.D.
Dentist (General Practice)
6339 MACK RD
SACRAMENTO, CA 95823
Sacramento County (916) 454-2345
EDWIN G VENTOCILLA PA-C
Physician Assistant
6339 MACK RD
SACRAMENTO, CA 95823
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 1154947711. It was assigned to this organization in the NPPES registry on June 19, 2020. The provider is also known as Elica Health Centers - Mack Road.

Where is Elica Health Centers located?

Elica Health Centers is located at 6339 Mack Rd, Sacramento, CA 95823. 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.

When was this NPI record last updated?

The NPPES record for Elica Health Centers was last updated on March 8, 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.