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MEDMARK TREATMENT CENTERS - SACRAMENTO, INC.
NPI 1255419172
Clinic/Center - Methadone in Sacramento, CA

Active since November 01, 2006CLIA 05D2029362 · Waiver
7240 E SOUTHGATE DR, SUITES B, E, G, SACRAMENTO, CA 95823(916) 391-4293(916) 391-4247 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2024, Feb 21, 2023, Apr 20, 2022 and 1 more (4 updates tracked since 2021).

About Medmark Treatment Centers - Sacramento, Inc. NPPES

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

MEDMARK TREATMENT CENTERS - SACRAMENTO, INC. (NPI 1255419172) is a healthcare organization registered as a methadone in Sacramento, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through September 6, 2027 and lists Bruce Jarvie, Vp, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1255419172
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameMEDMARK TREATMENT CENTERS - SACRAMENTO, INC.
Location Address7240 E SOUTHGATE DR, SUITES B, E, GSacramento, CA 95823-2627
Mailing Address1720 Lakepointe Dr Ste 117Lewisville, TX 75057-6425 · (214) 379-3300 · Fax (214) 379-3324
Phone(916) 391-4293
Fax(916) 391-4247
Organization SubpartYesParent: Medmark Services
Authorized OfficialBruce JarvieVp, Treasurer · (214) 379-3300
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 29, 20244 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1255419172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
License✔ Licensed in CA · 34-09
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
7240 E SOUTHGATE DR, Sacramento, CA 95823
Open in Google Maps ↗

Other Identifiers 2

Other9390237CA · Medical
Other34-09CA · Otp License

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 05D2029362

Medmark Treatment Centers - Sacramento, Inc. · Sacramento, CA
Active · expires Sep 6, 2027
CLIA Number05D2029362
Laboratory TypeNarcotic Treatment Progrm
Certificate Effective DateSeptember 7, 2025
Certificate Expiration DateSeptember 6, 2027
Laboratory DirectorGilbert E. Greene
Laboratory Phone(916) 391-4293
Laboratory LocationMedmark Treatment Centers - Sacramento, Inc.7240 E Southgate Dr, Ste G, Sacramento, CA 95823
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
2,102 services74 patients
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure G2078
This service provides an additional 7-day supply of methadone, a medication used to treat opioid addiction, for patients to take at home. It's provided by a Medicare-enrolled opioid treatment program. This service is billed separately from the main treatment procedure.
919 services45 patients
Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) G2074
Medication Assisted Treatment is a comprehensive program for managing substance use. It includes counseling (both individual and group), along with regular toxicology testing if required. This service is provided by a Medicare-enrolled opioid treatment program.
96 services34 patients
Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for G2077
Periodic assessment is a routine check-up by trained professionals to determine the best mix of services and treatments for your health needs. This is typically provided by a Medicare-enrolled opioid treatment program. It's listed separately in addition to your main treatment code. This ensures you receive the most suitable care for your situation.
52 services48 patients

Other Providers at the Same Location NPPES 16

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

CASSANDRA ARLENE DEL TORO RUIZ RADT
Counselor (Addiction (Substance Use Disorder))
7240 E SOUTHGATE DR
SACRAMENTO, CA 95823
Sacramento County (916) 910-3692
TAM HOANG NGUYEN
Pharmacy (Community/Retail Pharmacy)
7240 E SOUTHGATE DR, SUITE # A
SACRAMENTO, CA 95823
Sacramento County (916) 393-5961
MAYDY LO
Counselor (Addiction (Substance Use Disorder))
7240 E SOUTHGATE DR
SACRAMENTO, CA 95823
Sacramento County (916) 391-4293
MR. DAVID MICHAEL WOODS SUDRC
Counselor (Addiction (Substance Use Disorder))
7240 E SOUTHGATE DR
SACRAMENTO, CA 95823
Sacramento County (916) 391-4293
JEFFREY LO
Counselor
7240 E SOUTHGATE DR
SACRAMENTO, CA 95823
Sacramento County (916) 391-4293
MRS. KELLY LYNN MCCREERY RADT II
Counselor (Addiction (Substance Use Disorder))
7240 E SOUTHGATE DR
SACRAMENTO, CA 95823
Sacramento County (916) 391-4293
NAI FOW SAEPHAN
Counselor (Addiction (Substance Use Disorder))
7240 E SOUTHGATE DR
SACRAMENTO, CA 95823
Sacramento County (916) 391-4293
MS. MACKENZIE DEE GISH RADT-1
Case Manager/Care Coordinator
7240 E SOUTHGATE DR, SUITE G
SACRAMENTO, CA 95823
Sacramento County (916) 391-4293

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 Medmark Treatment Centers - Sacramento, Inc.'s NPI number?

The NPI number for Medmark Treatment Centers - Sacramento, Inc. is 1255419172. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Medmark Treatment Centers - Sacramento, Inc. located?

Medmark Treatment Centers - Sacramento, Inc. is located at 7240 E Southgate Dr Suites B, E, G, Sacramento, CA 95823. The listed phone number is (916) 391-4293.

What is Medmark Treatment Centers - Sacramento, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Medmark Treatment Centers - Sacramento, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2029362) is associated with this NPI, valid through September 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medmark Treatment Centers - Sacramento, Inc. was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.