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ELICA HEALTH CENTERS - CADILLAC DRIVE
NPI 1265059182
Clinic/Center - Federally Qualified Health Center (FQHC) in Sacramento, CA

Active since June 26, 2020
77 CADILLAC DR STE 200, SACRAMENTO, CA 95825(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 26, 2020 (3 updates tracked since 2020).

About Elica Health Centers - Cadillac Drive NPPES

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

ELICA HEALTH CENTERS - CADILLAC DRIVE (NPI 1265059182) 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

NPI1265059182
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameELICA HEALTH CENTERS
Location Address77 CADILLAC DR STE 200Sacramento, CA 95825-8337
Mailing Address1860 Howe Ave Ste 440Sacramento, CA 95825-1098 · (916) 569-8484
Phone(916) 454-2345
Fax(916) 890-3828
Organization SubpartYes
Authorized OfficialTatyana BakCeo · (916) 569-8484
Enumeration DateJune 26, 2020
Last NPPES UpdateMarch 8, 20223 updates tracked since enumeration
NPPES CertifiedMarch 8, 2022
✔ NPI 1265059182 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
77 CADILLAC DR STE 200, Sacramento, CA 95825
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Other Names 1

Other NameElica Health Centers - Cadillac Drive

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 6

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

MS. TARA LYNN FAVIS NP-C
Nurse Practitioner (Family)
77 CADILLAC DR STE 200
SACRAMENTO, CA 95825
Sacramento County (916) 454-2345
KEARIESHA NATALEE ADDISON SAMUELS
Nurse Practitioner (Primary Care)
77 CADILLAC DR STE 200
SACRAMENTO, CA 95825
Sacramento County (916) 569-8484
JAYMEE LEAK MATTHEWS FNP-C
Nurse Practitioner (Family)
77 CADILLAC DR STE 200
SACRAMENTO, CA 95825
Sacramento County (916) 454-2345
AREZOU PARSIAN CNP
Nurse Practitioner (Family)
77 CADILLAC DR STE 200
SACRAMENTO, CA 95825
Sacramento County (916) 454-2345
MARYAM MAHMOODI DEEZAJE DDS
Student in an Organized Health Care Education/Training Program
77 CADILLAC DR STE 200
SACRAMENTO, CA 95825
Sacramento County (916) 454-2345
DR. ANNIE CHI NGO BARNES D.D.S.
Dentist (General Practice)
77 CADILLAC DR STE 200
SACRAMENTO, CA 95825
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 1265059182. It was assigned to this organization in the NPPES registry on June 26, 2020. The provider is also known as Elica Health Centers - Cadillac Drive.

Where is Elica Health Centers located?

Elica Health Centers is located at 77 Cadillac Dr Ste 200, Sacramento, CA 95825. 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.