1. Home
  2. Directory
  3. California
  4. Sacramento
  5. Clinic Center
  6. NPI Profile

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: October 25, 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
Open in Google Maps ↗

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

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 - Marysville 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 - Marysville, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 71 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
Dmitriy Bazaron, CNP
Nurse Practitioner
NPI 1043728249
3234 MARYSVILLE BLVD
Sacramento, CA 95815
(916) 454-2345
✔ PECOS✔ Accepts MedicareSame address
Andrew Bowman, MD
Pediatric Medicine
NPI 1306409586
3234 MARYSVILLE BLVD
Sacramento, CA 95815
(916) 454-2345
✔ PECOSSame address
Yetzenia Moura, FNP
Nurse Practitioner
NPI 1508599648
3234 MARYSVILLE BLVD
Sacramento, CA 95815
(916) 454-2345
✔ PECOSSame address
Elaine Shan, M.D.
Pediatric Medicine
NPI 1053767434
3234 MARYSVILLE BLVD
Sacramento, CA 95815
(918) 407-2495
✔ PECOSSame address
Lashawnna Tyler, FNP
Nurse Practitioner
NPI 1477354231
3234 MARYSVILLE BLVD
Sacramento, CA 95815
(916) 454-2345
✔ PECOSSame address
Antoine Dipsia, M.D.
Family Practice
NPI 1013093558
4215 NORWOOD AVE #01
W. Sacramento, CA 95838
(916) 564-0521
✔ PECOS✔ Accepts Medicare1.9 mi
Mohammad Anwar, DDS
Dentist
NPI 1366040412
1750 WRIGHT ST STE A
Sacramento, CA 95825
(916) 569-8484
✔ PECOS2.4 mi
Guadalupe Quintero, DDS
Dentist
NPI 1639807688
1750 WRIGHT ST STE 1
Sacramento, CA 95825
(916) 454-2345
✔ PECOS2.4 mi
Nicole Abeleda, LCSW
Clinical Social Worker
NPI 1932821881
2400 GLENDALE LN
Sacramento, CA 95825
(916) 454-2345
✔ PECOS2.5 mi
Marinelle Bartolome, RDN
Registered Dietitian or Nutrition Professional
NPI 1740976604
2400 GLENDALE LN
Sacramento, CA 95825
(916) 454-2345
2.5 mi
Salam Cavallo, FNP
Nurse Practitioner
NPI 1982283826
2400 GLENDALE LN
Sacramento, CA 95825
(916) 569-8484
✔ PECOS✔ Accepts Medicare2.5 mi
Diana Doncheva, MD
Family Practice
NPI 1609933274
2400 GLENDALE LN
Sacramento, CA 95825
(916) 454-2345
✔ PECOS✔ Accepts Medicare2.5 mi
Jennifer Garlington, DNP
Nurse Practitioner
NPI 1962981670
2400 GLENDALE LN
Sacramento, CA 95825
(916) 454-2345
✔ PECOS2.5 mi
Carol Lafradez, OD
Optometry
NPI 1346885985
2400 GLENDALE LN
Sacramento, CA 95825
(916) 454-2345
✔ PECOS2.5 mi
Karina Logsdon, RDN
Registered Dietitian or Nutrition Professional
NPI 1033959788
2400 GLENDALE LN
Sacramento, CA 95825
(916) 454-2345
✔ Accepts Medicare2.5 mi
Mary Cruz Ortiz-Corona, LCSW
Clinical Social Worker
NPI 1336664846
2400 GLENDALE LN
Sacramento, CA 95825
(916) 454-2345
✔ PECOS2.5 mi
Apoorva Raju, MD
Internal Medicine
NPI 1245954767
2400 GLENDALE LN
Sacramento, CA 95825
(916) 454-2345
✔ PECOS✔ Accepts Medicare2.5 mi
Deborah Yao, M.D.
Pediatric Medicine
NPI 1114973351
2400 GLENDALE LN
Sacramento, CA 95825
(916) 454-2345
✔ PECOS✔ Accepts Medicare2.5 mi
Valentin Krivitsky, D.C.
Chiropractic
NPI 1871660399
701 HOWE AVE STE C3
Sacramento, CA 95825
(916) 972-1100
✔ Accepts Medicare3.4 mi
William Douglas, MD
General Practice
NPI 1477793727
3701 J ST STE 201
Sacramento, CA 95816
(916) 454-2345
✔ PECOS✔ Accepts Medicare4.2 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 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.

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, 5 practice at this address and 71 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.