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

Q: 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.

Q: 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.

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: July 26, 2026.

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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

Phone(916) 351-4800

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

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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

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.

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Other Providers at the Same Location NPPES 20

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

DR. ROKSANA ALI MD

Family Medicine