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ELICA HEALTH CENTERS - HALYARD MEDICAL CENTER
NPI 1205341336
Clinic/Center - Federally Qualified Health Center (FQHC) in West Sacramento, CA

Active since December 12, 2017
1276 HALYARD DR, WEST SACRAMENTO, CA 95691(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: October 18, 2026.

Record update history: Mar 8, 2022, Jan 28, 2021, Aug 14, 2019 and 1 more (4 updates tracked since 2017).

About Elica Health Centers - Halyard Medical Center NPPES

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

ELICA HEALTH CENTERS - HALYARD MEDICAL CENTER (NPI 1205341336) is a healthcare organization registered as a federally qualified health center (fqhc) in West Sacramento, California and active in the NPI registry since December 2017. The organization lists Tatyana Bak, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205341336
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameELICA HEALTH CENTERS
Location Address1276 HALYARD DRWest Sacramento, CA 95691-3412
Mailing Address1860 Howe Ave Ste 440Sacramento, CA 95825-1098 · (916) 569-8484 · Fax (916) 256-2214
Phone(916) 454-2345
Fax(916) 890-3828
Organization SubpartYes
Authorized OfficialTatyana BakCeo · (916) 569-8484
Enumeration DateDecember 12, 2017
Last NPPES UpdateMarch 8, 20224 updates tracked since enumeration
NPPES CertifiedMarch 8, 2022
✔ NPI 1205341336 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
1276 HALYARD DR, West Sacramento, CA 95691
Open in Google Maps ↗

Other Names 1

Other NameElica Health Centers - Halyard Medical Center

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elica Health Centers - Halyard Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

90

Medicare enrollment records show 90 clinicians reassign Medicare billing to Elica Health Centers - Halyard Medical Center, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 64 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Nurse Practitioner31
Family Practice12
Pediatric Medicine11
Internal Medicine10
Clinical Social Worker9
Dentist6
Registered Dietitian or Nutrition Professional3
General Practice2
5 other specialties6

Nearest to this location (20)

See all 90
Jessica Cheng
Pediatric Medicine
NPI 1184155046
1276 HALYARD DR
West Sacramento, CA 95691
(916) 569-8484
✔ PECOSSame address
Nancy Ekeke, M.D.
Internal Medicine
NPI 1093988800
1276 HALYARD DR
West Sacramento, CA 95691
(916) 454-2345
✔ PECOS✔ Accepts MedicareSame address
Ladan Hashemi, NP
Nurse Practitioner
NPI 1376887935
1276 HALYARD DR
West Sacramento, CA 95691
(855) 354-2242
✔ PECOSSame address
Joseph Hiatt, NP
Nurse Practitioner
NPI 1942982426
1276 HALYARD DR
West Sacramento, CA 95691
(916) 454-2345
✔ PECOSSame address
Yi-Chern Lin
Podiatry
NPI 1629480660
1276 HALYARD DR
West Sacramento, CA 95691
(855) 354-2242
✔ PECOS✔ Accepts MedicareSame address
Sharina Macapagal, MD
Internal Medicine
NPI 1508551391
1276 HALYARD DR
West Sacramento, CA 95691
(916) 454-2345
✔ PECOSSame address
Jacqueline Ramsay, MD
Family Practice
NPI 1699470211
1276 HALYARD DR
West Sacramento, CA 95691
(916) 454-2345
✔ PECOS✔ Accepts MedicareSame address
Muthumanimoli Sivakumaran, MD
Pediatric Medicine
NPI 1285713867
1276 HALYARD DR
West Sacramento, CA 95691
(855) 354-2242
✔ PECOSSame address
Jeffrey Moy, M.D.
Family Practice
NPI 1922121466
155 15TH ST
West Sacramento, CA 95691
(916) 375-8981
✔ PECOS✔ Accepts Medicare1.4 mi
Rebecca Owen, FNP
Nurse Practitioner
NPI 1215224696
155 15TH ST SUITE A
West Sacramento, CA 95691
(916) 375-8981
✔ PECOS1.4 mi
Tooba Saeed, MD
Internal Medicine
NPI 1861120768
155 15TH ST
West Sacramento, CA 95691
(916) 569-8484
✔ PECOS1.4 mi
Nusrat Uddin Tanni, MD
Internal Medicine
NPI 1912673849
155 15TH ST STE A
West Sacramento, CA 95691
(916) 454-2345
✔ PECOS✔ Accepts Medicare1.4 mi
Anna Ruezga, LCSW
Clinical Social Worker
NPI 1346562352
1500 21ST ST
Sacramento, CA 95811
(916) 443-3299
✔ PECOS3.8 mi
Vesna Swanson, FNP
Nurse Practitioner
NPI 1033978127
3701 J ST STE 201
Sacramento, CA 95816
(916) 454-2345
✔ PECOS4.3 mi
Carissa Caryotakis, N.P.
Nurse Practitioner
NPI 1124570627
3701 J ST STE 201
Sacramento, CA 95816
(855) 354-2242
✔ PECOS4.5 mi
William Douglas, MD
General Practice
NPI 1477793727
3701 J ST STE 201
Sacramento, CA 95816
(916) 454-2345
✔ PECOS✔ Accepts Medicare4.5 mi
Angela Kutsar, LCSW
Clinical Social Worker
NPI 1538882196
3701 J ST STE 201
Sacramento, CA 95816
(916) 454-2345
✔ PECOS4.5 mi
Ugochi Nwokafor, MD
Family Practice
NPI 1548844897
3701 J ST STE 201
Sacramento, CA 95816
(916) 454-2345
✔ PECOS✔ Accepts Medicare4.5 mi
Gustavo Rosales, M.D.
General Practice
NPI 1548306954
3701 J ST SUITE 201
Sacramento, CA 95816
(916) 454-2345
✔ PECOS✔ Accepts Medicare4.5 mi
Stephanie Sherwood, MD
Pediatric Medicine
NPI 1427034388
3701 J ST STE 201
Sacramento, CA 95816
(164) 542-3459
✔ PECOS4.5 mi
See all 90 clinicians

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 Elica Health Centers's NPI number?

The NPI number for Elica Health Centers is 1205341336. It was assigned to this organization in the NPPES registry on December 12, 2017. The provider is also known as Elica Health Centers - Halyard Medical Center.

Where is Elica Health Centers located?

Elica Health Centers is located at 1276 Halyard Dr, West Sacramento, CA 95691. 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.

Is Elica Health Centers enrolled in Medicare?

Yes. Elica Health Centers is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elica Health Centers?

According to the CMS Revalidation Reassignment List (October 2026 release), 90 clinicians in 13 Medicare specialties reassign their Medicare billing to Elica Health Centers. 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 (31), Family Practice (12) and Pediatric Medicine (11). Of these, 8 practice at this address and 64 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Elica Health Centers accept?

Health plans from UnitedHealthcare list Elica Health Centers as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.