ELICA HEALTH CENTERS NORTH HIGHLANDS
NPI 1366051120
Clinic/Center - Federally Qualified Health Center (FQHC) in North Highlands, CA
About Elica Health Centers North Highlands NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELICA HEALTH CENTERS NORTH HIGHLANDS (NPI 1366051120) is a healthcare organization registered as a federally qualified health center (fqhc) in North Highlands, California and active in the NPI registry since July 2020. The organization lists Tatyana Bak, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elica Health Centers North Highlands is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
90Medicare enrollment records show 90 clinicians reassign Medicare billing to Elica Health Centers North Highlands, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 61 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 13
Nearest to this location (20)
See all 90Source: 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 1366051120. It was assigned to this organization in the NPPES registry on July 28, 2020. The provider is also known as Elica Health Centers North Highlands.
Where is Elica Health Centers located?
Elica Health Centers is located at 4815 Watt Ave, North Highlands, CA 95660. 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.
When is Elica Health Centers's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (California, Federally Qualified Health Center (FQHC)) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
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, 10 practice at this address and 61 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Elica Health Centers accept?
Health plans from UnitedHealthcare list Elica Health Centers as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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.
# Elica Health Centers North Highlands · NPI 1366051120
Federally Qualified Health Center (FQHC) organization in North Highlands, California. Organization record, active in the CMS NPPES registry since July 28, 2020.
## Identity
- **NPI:** 1366051120 (Entity type: Organization)
- **Enumerated:** July 28, 2020
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Elica Health Centers
- **Organization subpart:** Yes (part of Elica Health Centers)
- **Authorized official:** Tatyana Bak, CEO
## Practice location
- **Address:** 4815 WATT AVE, North Highlands, CA 95660-5108
- **Phone:** (916) 454-2345 · **Fax:** (916) 890-3828
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Part A, California, Federally Qualified Health Center (FQHC)) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 90 clinicians in 13 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (31), Family Practice (12), Pediatric Medicine (11); 10 practice at this address and 61 within 10 miles; [full list](https://npiprofile.com/npi/1366051120/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 8, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1366051120) · Data from the CMS NPPES public registry.