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ELICA HEALTH CENTERS - MARYSVILLE
NPI 1346784295
Clinic/Center - Federally Qualified Health Center (FQHC) in Sacramento, CA

Active since December 12, 2016
3234 MARYSVILLE BLVD, SACRAMENTO, CA 95815(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, Aug 14, 2019 and 3 more (6 updates tracked since 2016).

About Elica Health Centers - Marysville NPPES

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

ELICA HEALTH CENTERS - MARYSVILLE (NPI 1346784295) is a healthcare organization registered as a federally qualified health center (fqhc) in Sacramento, California and active in the NPI registry since December 2016. The organization lists Tatyana Bak, Ceo, as its authorized official.

NPPES Registry Identity

NPI1346784295
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameELICA HEALTH CENTERS
Location Address3234 MARYSVILLE BLVDSacramento, CA 95815-1411
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, 2016
Last NPPES UpdateMarch 8, 20226 updates tracked since enumeration
NPPES CertifiedMarch 8, 2022
✔ NPI 1346784295 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
3234 MARYSVILLE BLVD, Sacramento, CA 95815
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Other Names 1

Other NameElica Health Centers - Marysville

Other Identifiers 1

OtherCB101AMedicare Part B

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 19

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

DMITRIY VLADIMIROVICH BAZARON CNP
Nurse Practitioner
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Sacramento County (916) 454-2345
ELAINE SHAN M.D.
Pediatrics
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Sacramento County (918) 407-2495
MS. CINDA LEE TEJERAS LCSW
Social Worker
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Sacramento County (916) 646-1200
HALIFU OSAMURE PRINCE
Counselor
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Sacramento County (916) 454-2345
ANDREW DAVID BOWMAN MD
Pediatrics
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Sacramento County (916) 454-2345
JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA
Family Medicine
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Sacramento County (916) 646-1200
JOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CALIFORNIA
Non-Pharmacy Dispensing Site
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Sacramento County (916) 646-1200
BIRTH AND FAMILY HEALTH CENTER
Clinic/Center (Family Planning, Non-Surgical)
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Sacramento County (916) 646-8000

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 1346784295. It was assigned to this organization in the NPPES registry on December 12, 2016. The provider is also known as Elica Health Centers - Marysville.

Where is Elica Health Centers located?

Elica Health Centers is located at 3234 Marysville Blvd, Sacramento, CA 95815. 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.