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C O R E MEDICAL CLINIC INC
NPI 1326283706
Clinic/Center - Methadone in Sacramento, CA

Active since December 12, 2008CLIA 05D2018293 · Waiver
2100 CAPITOL AVE, SACRAMENTO, CA 95816(916) 442-4985(916) 442-1029 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 8, 2023, Jul 14, 2021 (2 updates tracked since 2021).

About C O R E Medical Clinic Inc NPPES

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

C O R E MEDICAL CLINIC INC (NPI 1326283706) is a healthcare organization registered as a methadone in Sacramento, California and active in the NPI registry since December 2008. The organization holds a CLIA Waiver certificate valid through December 30, 2026 and lists Marshall Stenson, Business Services Director, as its authorized official.

NPPES Registry Identity

NPI1326283706
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameC O R E MEDICAL CLINIC INC
Location Address2100 CAPITOL AVESacramento, CA 95816-5721
Mailing Address2100 Capitol AveSacramento, CA 95816-5721 · (916) 442-4985 · Fax (916) 442-1029
Phone(916) 442-4985
Fax(916) 442-1029
Organization SubpartNo
Authorized OfficialMarshall StensonBusiness Services Director · (916) 442-4985
Enumeration DateDecember 12, 2008
Last NPPES UpdateDecember 8, 20232 updates tracked since enumeration
NPPES CertifiedDecember 8, 2023
✔ NPI 1326283706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

2100 CAPITOL AVE, Sacramento, CA 95816
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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 05D2018293

C O R E Medical Clinic, Inc · Sacramento, CA
Active · expires Dec 30, 2026
CLIA Number05D2018293
Laboratory TypeMedication Assisted Treat
Certificate Effective DateDecember 31, 2024
Certificate Expiration DateDecember 30, 2026
Laboratory DirectorRandall L. Stenson
Laboratory Phone(916) 442-4985
Laboratory LocationC O R E Medical Clinic, Inc2100 Capitol Ave, Sacramento, CA 95816
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 2

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.
2,888 services105 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.
1,047 services62 patients

Other Providers at the Same Location NPPES 20

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

MR. MICHAEL A BROOKS JR.
Counselor (Addiction (Substance Use Disorder))
2100 CAPITOL AVE
SACRAMENTO, CA 95816
Sacramento County (916) 442-4985
SASHA HERNANDEZ MSW
Social Worker (Clinical)
2100 CAPITOL AVE
SACRAMENTO, CA 95816
Sacramento County (916) 442-4985
CAROLYN HUMPHREY
Counselor (Addiction (Substance Use Disorder))
2100 CAPITOL AVE
SACRAMENTO, CA 95816
Sacramento County (916) 442-4985
JULIE TWYMAN
Counselor (Addiction (Substance Use Disorder))
2100 CAPITOL AVE
SACRAMENTO, CA 95816
Sacramento County (916) 442-4985
TONI KING-THOMAS
Licensed Psychiatric Technician
2100 CAPITOL AVE
SACRAMENTO, CA 95816
Sacramento County (916) 442-4985
JEANETTE SHIRLEY
Counselor (Addiction (Substance Use Disorder))
2100 CAPITOL AVE
SACRAMENTO, CA 95816
Sacramento County (916) 442-4985
SHEILA MERIDETH
Counselor (Addiction (Substance Use Disorder))
2100 CAPITOL AVE
SACRAMENTO, CA 95816
Sacramento County (916) 442-4985
LORIE DESANTO
Counselor (Addiction (Substance Use Disorder))
2100 CAPITOL AVE, SUITE A
SACRAMENTO, CA 95816
Sacramento County (916) 442-4985

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 C O R E Medical Clinic Inc's NPI number?

The NPI number for C O R E Medical Clinic Inc is 1326283706. It was assigned to this organization in the NPPES registry on December 12, 2008.

Where is C O R E Medical Clinic Inc located?

C O R E Medical Clinic Inc is located at 2100 Capitol Ave, Sacramento, CA 95816. The listed phone number is (916) 442-4985.

What is C O R E Medical Clinic Inc's specialty?

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

Does C O R E Medical Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2018293) is associated with this NPI, valid through December 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for C O R E Medical Clinic Inc was last updated on December 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.