MERCY MEDICAL GROUP, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION
NPI 1497879597
Clinic/Center - Multi-Specialty in Folsom, CA

Active since March 16, 2007CLIA 05D1063141 · Microscopy
1700 PRAIRIE CITY RD, FOLSOM, CA 95630(916) 351-4800(916) 351-4899 Get Directions Write a Review

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

About Mercy Medical Group, A Service Of Dignity Health Medical Foundation NPPES

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

MERCY MEDICAL GROUP, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION (NPI 1497879597) is a healthcare organization registered as a multi-specialty in Folsom, California and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through January 4, 2027 and lists Theresa M Hylen, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1497879597
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameDIGNITY HEALTH MEDICAL FOUNDATION
Location Address1700 PRAIRIE CITY RDFolsom, CA 95630-9594
Mailing AddressPo Box 60000, File #72938San Francisco, CA 94160-2938 · (916) 733-3397
Fax(916) 351-4899
Organization SubpartYes
Authorized OfficialTheresa M HylenChief Financial Officer · (916) 851-2559
Enumeration DateMarch 16, 2007
Last NPPES UpdateNovember 18, 2020
NPPES CertifiedNovember 18, 2020
✔ NPI 1497879597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1700 PRAIRIE CITY RD, Folsom, CA 95630

Other Names 1

Doing Business AsMercy Medical Group, A Service Of Dignity Health Medical Foundation

Other Identifiers 7

Other341996544Special Purpose Tax Id #
Other983Health Net
Other1BYBlue Cross
Other195Health Net
OtherZZZ13173ZBlue Shield Of Ca
MedicaidGR0091673CA
Other0019838Cigna

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mercy Medical Group, A Service Of Dignity Health Medical Foundation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,178

Medicare enrollment records show 1,178 clinicians reassign Medicare billing to Mercy Medical Group, A Service Of Dignity Health Medical Foundation, which bills Medicare for the services they deliver. Of these, 35 practice at this address and 247 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 62

Family Practice169
Hospitalist135
Nurse Practitioner126
Internal Medicine98
Diagnostic Radiology93
Obstetrics/Gynecology50
Pediatric Medicine43
General Surgery28
54 other specialties436

Nearest to this location (20)

See all 1,178
Internal Medicine
NPI 1740381383
1700 PRAIRIE CITY RD
Folsom, CA 95630
(916) 351-4800
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1710237821
1700 PRAIRIE CITY RD
Folsom, CA 95630
(916) 351-4800
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1659667574
1700 PRAIRIE CITY RD
Folsom, CA 95630
(916) 351-4800
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1518220656
1700 PRAIRIE CITY RD
Folsom, CA 95630
(916) 351-4800
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1801417811
1700 PRAIRIE CITY RD
Folsom, CA 95630
(916) 351-4800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1932185246
1700 PRAIRIE CITY RD
Folsom, CA 95630
(916) 351-4800
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1265884191
1700 PRAIRIE CITY RD
Folsom, CA 95630
(916) 351-4800
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1861785768
1700 PRAIRIE CITY RD
Folsom, CA 95630
(916) 351-4800
✔ PECOSSame address
Cardiovascular Disease (Cardiology)
NPI 1467524520
1730 PRAIRIE CITY RD STE 120
Folsom, CA 95630
(916) 351-4800
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1316955024
1730 PRAIRIE CITY RD SUITE 120
Folsom, CA 95630
(916) 351-4800
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1649458803
1730 PRAIRIE CITY RD STE 120
Folsom, CA 95630
(916) 351-4800
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1861545519
1730 PRAIRIE CITY RD STE 120
Folsom, CA 95630
(916) 351-4800
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1023375821
1730 PRAIRIE CITY RD STE 120
Folsom, CA 95630
(916) 351-4800
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1366554933
1730 PRAIRIE CITY RD STE 120
Folsom, CA 95630
(916) 351-4800
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1982759320
1730 PRAIRIE CITY RD STE 120
Folsom, CA 95630
(916) 351-4800
✔ PECOS✔ Accepts MedicareSame address
Marriage and Family Therapist
NPI 1467588715
1730 PRAIRIE CITY RD STE 120
Folsom, CA 95630
(916) 924-6400
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1457573248
1730 PRAIRIE CITY RD STE 120
Folsom, CA 95630
(916) 351-4800
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1548332521
1730 PRAIRIE CITY RD STE 120
Folsom, CA 95630
(916) 351-4800
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1114079514
1730 PRAIRIE CITY RD
Folsom, CA 95630
(916) 351-4800
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1174076681
1730 PRAIRIE CITY RD STE 120
Folsom, CA 95630
(916) 351-4800
✔ PECOS✔ Accepts MedicareSame address
See all 1,178 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

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) 05D1063141

Dignity Health Medical Foundation · Folsom, CA
Active · expires Jan 4, 2027
CLIA Number05D1063141
Laboratory TypePhysician Office
Certificate Effective DateJanuary 5, 2025
Certificate Expiration DateJanuary 4, 2027
Laboratory DirectorJohn F. Gisla MD
Laboratory Phone(916) 351-4800
Laboratory LocationDignity Health Medical Foundation1700 Prairie City Road, Folsom, CA 95630
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.

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 1497879597. It was assigned to this organization in the NPPES registry on March 16, 2007. The provider is doing business as Mercy Medical Group, A Service Of Dignity Health Medical Foundation.

Where is Dignity Health Medical Foundation located?

Dignity Health Medical Foundation is located at 1700 Prairie City Rd, Folsom, CA 95630. The listed phone number is (916) 351-4800.

What is Dignity Health Medical Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Dignity Health Medical Foundation enrolled in Medicare?

Yes. Dignity Health Medical Foundation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dignity Health Medical Foundation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,178 clinicians in 62 Medicare specialties reassign their Medicare billing to Dignity Health Medical Foundation. 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 Family Practice (169), Hospitalist (135) and Nurse Practitioner (126). Of these, 35 practice at this address and 247 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dignity Health Medical Foundation hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D1063141) is associated with this NPI, valid through January 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.