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DIGNITY HEALTH MEDICAL FOUNDATION - EL DORADO HILLS
NPI 1497180632
Non-Pharmacy Dispensing Site in El Dorado Hills, CA

Active since September 06, 2013CLIA Certified · 2 labs
1264 HAWKS FLIGHT CT, SUITE 100, EL DORADO HILLS, CA 95762(916) 939-8400 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dignity Health Medical Foundation - El Dorado Hills NPPES

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

DIGNITY HEALTH MEDICAL FOUNDATION - EL DORADO HILLS (NPI 1497180632) is a healthcare organization registered as a non-pharmacy dispensing site in El Dorado Hills, California and active in the NPI registry since September 2013. The organization holds 2 active CLIA laboratory certificates and lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1497180632
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameDIGNITY HEALTH MEDICAL FOUNDATION
Location Address1264 HAWKS FLIGHT CT, SUITE 100El Dorado Hills, CA 95762-9348
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(916) 939-8400
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506
Enumeration DateSeptember 6, 2013
Last NPPES UpdateNovember 18, 2020
NPPES CertifiedNovember 18, 2020
✔ NPI 1497180632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in CA · A96435
Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

1264 HAWKS FLIGHT CT, El Dorado Hills, CA 95762
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Other Names 1

Doing Business AsDignity Health Medical Foundation - El Dorado Hills

CLIA Laboratory Certificates CMS CLIA 2

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 for Provider-Performed Microscopy Procedures (PPMP) 05D2065999

Dignity Health Medical Foundation · El Dorado Hills, CA
Active · expires Mar 23, 2028
CLIA Number05D2065999
Laboratory TypePhysician Office
Certificate Effective DateMarch 24, 2026
Certificate Expiration DateMarch 23, 2028
Laboratory DirectorChristopher Olson, MD
Laboratory Phone(916) 939-8400
Laboratory LocationDignity Health Medical Foundation1264 Hawks Flight Court, Suite 100, El Dorado Hills, CA 95762
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 05D0928862

Dignity Health Medical Foundation · Sacramento, CA
Active · expires May 28, 2027
CLIA Number05D0928862
Laboratory TypePhysician Office
Certificate Effective DateMay 29, 2025
Certificate Expiration DateMay 28, 2027
Laboratory DirectorArash Aryana
Laboratory Phone(916) 939-8400
Laboratory LocationDignity Health Medical Foundation3941 J St, Ste 350, Sacramento, CA 95819
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

CHRISTOPHER RYAN OLSON MD
Family Medicine
1264 HAWKS FLIGHT CT, SUITE 100
EL DORADO HILLS, CA 95762
El Dorado County (916) 933-4222
MARY ANN NAU JOHNSON MD
Dermatology
1264 HAWKS FLIGHT CT, SUITE 100
EL DORADO HILLS, CA 95762
El Dorado County (916) 939-8400
DR. WING-YAN CINDY YUEN M.D.
Family Medicine
1264 HAWKS FLIGHT CT
EL DORADO HILLS, CA 95762
El Dorado County (916) 939-9773

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 Dignity Health Medical Foundation's NPI number?

The NPI number for Dignity Health Medical Foundation is 1497180632. It was assigned to this organization in the NPPES registry on September 6, 2013.

Where is Dignity Health Medical Foundation located?

Dignity Health Medical Foundation is located at 1264 Hawks Flight Ct Suite 100, El Dorado Hills, CA 95762. The listed phone number is (916) 939-8400.

What is Dignity Health Medical Foundation's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Dignity Health Medical Foundation hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Dignity Health Medical Foundation was last updated on November 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.