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MERCY MEDICAL GROUP, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION
NPI 1558495937
Clinic/Center - Multi-Specialty in Elk Grove, CA

Active since March 15, 2007CLIA Certified · 3 labs
7911 LAGUNA BLVD, ELK GROVE, CA 95758(916) 733-5801(916) 683-0232 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: October 04, 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 1558495937) is a healthcare organization registered as a multi-specialty in Elk Grove, California and active in the NPI registry since March 2007. The organization holds 3 active CLIA laboratory certificates and lists Theresa M Hylen, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1558495937
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameDIGNITY HEALTH MEDICAL FOUNDATION
Location Address7911 LAGUNA BLVDElk Grove, CA 95758-7920
Mailing AddressPo Box 60000, File #72938San Francisco, CA 94160-2938 · (916) 733-3397
Phone(916) 733-5801
Fax(916) 683-0232
Organization SubpartYes
Authorized OfficialTheresa M HylenChief Financial Officer · (916) 851-2559
Enumeration DateMarch 15, 2007
Last NPPES UpdateNovember 18, 2020
NPPES CertifiedNovember 18, 2020
✔ NPI 1558495937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
7911 LAGUNA BLVD, Elk Grove, CA 95758
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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 #
MedicaidGR006356BCA
OtherKYZBlue Cross
Other195Health Net
Other983Health Net
Other0019838Cigna
OtherZZZ09972ZBlue Shield

CLIA Laboratory Certificates CMS CLIA 4

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) 05D1055263

Dignity Health Medical Foundation · Elk Grove, CA
Active · expires Jun 12, 2028
CLIA Number05D1055263
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2026
Certificate Expiration DateJune 12, 2028
Laboratory DirectorAndrew J. Katz
Laboratory Phone(916) 379-2861
Laboratory LocationDignity Health Medical Foundation8220 Wymark Dr, Elk Grove, CA 95757
CLIA data matches this NPI record on: Name
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 for Provider-Performed Microscopy Procedures (PPMP) 05D1078782

Dignity Health Medical Foundation · Elk Grove, CA
Active · expires Jan 15, 2028
CLIA Number05D1078782
Laboratory TypeLicense-Exempt Clinic
Certificate Effective DateJanuary 16, 2026
Certificate Expiration DateJanuary 15, 2028
Laboratory DirectorWendy W. Lin
Laboratory Phone(916) 691-8500
Laboratory LocationDignity Health Medical Foundation9394 Big Horn Blvd, Elk Grove, CA 95758
CLIA data matches this NPI record on: Name
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 for Provider-Performed Microscopy Procedures (PPMP) 05D2330975

Dignity Health Medical Foundation · Elk Grove, CA
Active · expires Sep 23, 2027
CLIA Number05D2330975
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorJoan B. Roberts
Laboratory Phone(916) 379-2861
Laboratory LocationDignity Health Medical Foundation8259 Laguna Blvd, Ste 100, Elk Grove, CA 95758
CLIA data matches this NPI record on: Name
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 05D2048015

Dignity Health Medical Foundation · Elk Grove, CA
Expired · Oct 7, 2026
CLIA Number05D2048015
Laboratory TypePhysician Office
Certificate Effective DateOctober 8, 2024
Certificate Expiration DateOctober 7, 2026
Laboratory DirectorMiguel Nieves
Laboratory Phone(916) 733-6960
Laboratory LocationDignity Health Medical Foundation8220 Wymark Dr Ste 101, Elk Grove, CA 95757
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only 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 1558495937. It was assigned to this organization in the NPPES registry on March 15, 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 7911 Laguna Blvd, Elk Grove, CA 95758. The listed phone number is (916) 733-5801.

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.

Does Dignity Health Medical Foundation hold CLIA laboratory certificates?

Yes. 3 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 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.