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

NPI Status: Active since December 12, 2016

Contact Information

3234 MARYSVILLE BLVD
SACRAMENTO, CA
ZIP 95815
Phone: (916) 454-2345
Fax: (916) 890-3828

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 05D2162294
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 02-19-2027

About ELICA HEALTH CENTERS - MARYSVILLE

This page provides the complete NPI Profile along with additional information for Elica Health Centers - Marysville, a primary care provider established in Sacramento, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1346784295 assigned on December 2016. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Elica Health Centers - Marysville operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Elica Health Centers - Marysville. The authorized official of this NPI record is Tatyana Bak (Ceo)

NPI
1346784295
Provider Legal Name
ELICA HEALTH CENTERS
Other Organization Name
ELICA HEALTH CENTERS - MARYSVILLE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
3234 MARYSVILLE BLVD SACRAMENTO, CA 95815
Location Phone
(916) 454-2345
Location Fax
(916) 890-3828
Mailing Address
1860 HOWE AVE STE 440 SACRAMENTO, CA 95825
Mailing Phone
(916) 569-8484
Mailing Fax
(916) 890-3828
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-12-2016
Last Update Date
03-08-2022
Code Navigator

A primary care provider (PCP) like Elica Health Centers - Marysville sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1171M00000XOther Service Providers

Case Manager/Care Coordinator

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TATYANA BAK

Authorized Official Title
CEO
Authorized Official Phone
(916) 569-8484

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
CB101AOTHER (01)MEDICARE PART B

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2162294
Facility Type
Federally Qualified Health Center
Certificate Effective Date
February 20, 2025
Certificate Expiration Date
February 19, 2027
Laboratory Director
BRYAN K. LEE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Elica Health Centers - Marysville to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for ELICA HEALTH CENTERS - MARYSVILLE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1346784295, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
4
Doubled → 8
Pos 4
6
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 7 → 14 → 5 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 8 + 6 + 1 + 4 + 8 + 8 + 2 + 1 + 8 + 24 = 75

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1346784295.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Family Medicine
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Midwife
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Clinic/Center (Family Planning, Non-Surgical)
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Clinic/Center (Federally Qualified Health Center (FQHC))
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Social Worker
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Physician Assistant
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Non-Pharmacy Dispensing Site
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Nurse Practitioner (Family)
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Family Medicine
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Pediatrics
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Dentist
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Nurse Practitioner (Family)
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Nurse Practitioner (Family)
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Pediatrics
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Nurse Practitioner (Family)
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Counselor
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Nurse Practitioner (Family)
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Nurse Practitioner
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346784295, enumerated as an "organization" on December 12, 2016.

The provider is located at 3234 MARYSVILLE BLVD SACRAMENTO, CA 95815 and the phone number is (916) 454-2345.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.