1. Home
  2. Directory
  3. California
  4. Sacramento
  5. Family Medicine
  6. NPI Profile

PRIMELIFE MEDICAL GROUP, INC.
NPI 1629022561
Family Medicine in Sacramento, CA

Active since May 22, 2006CLIA 05D0988435 · Waiver
8100 TIMBERLAKE WAY, SUITE C, SACRAMENTO, CA 95823(916) 681-5000(916) 681-5887 Get Directions Write a Review

NPPES record last updated: May 21, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Primelife Medical Group, Inc. NPPES

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

PRIMELIFE MEDICAL GROUP, INC. (NPI 1629022561) is a healthcare organization registered as a family medicine in Sacramento, California and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through June 26, 2027 and lists Caesar Locsin Ibanez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629022561
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMC IBANEZ MEDICAL CORPORATION
Location Address8100 TIMBERLAKE WAY, SUITE CSacramento, CA 95823-5409
Mailing Address8100 Timberlake Way, Suite CSacramento, CA 95823-5409 · (916) 681-5000 · Fax (916) 681-5887
Phone(916) 681-5000
Fax(916) 681-5887
Organization SubpartNo
Authorized OfficialCaesar Locsin IbanezCeo · (916) 681-5000
Enumeration DateMay 22, 2006
Last NPPES UpdateMay 21, 2012
✔ NPI 1629022561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A64505
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8100 TIMBERLAKE WAY, Sacramento, CA 95823
Open in Google Maps ↗

Other Names 1

Doing Business AsPrimelife Medical Group, Inc.

Other Identifiers 3

Medicare UPINH06855CA
Medicare ID-Type Unspecified00A645050CA
Medicaid00A645050CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 of Waiver 05D0988435

Primelife Medical Goup Inc · Sacramento, CA
Active · expires Jun 26, 2027
CLIA Number05D0988435
Laboratory TypePhysician Office
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorMarcelina G. Ibanez MD
Laboratory Phone(916) 549-0620
Laboratory LocationPrimelife Medical Goup Inc8100 Timberlake Way Ste C, Sacramento, CA 95823
CLIA data matches this NPI record on: Address
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.

STEFANIE LE
Pharmacist
8100 TIMBERLAKE WAY, STE A
SACRAMENTO, CA 95823
Sacramento County (916) 760-2470
JUDE WATERBURY INC
Internal Medicine
8100 TIMBERLAKE WAY, #D
SACRAMENTO, CA 95823
Sacramento County (916) 689-8606
DR. MARCELINA GUTIERREZ IBANEZ M.D.
Family Medicine
8100 TIMBERLAKE WAY, SUITE C
SACRAMENTO, CA 95823
Sacramento County (916) 681-5000

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 Mc Ibanez Medical Corporation's NPI number?

The NPI number for Mc Ibanez Medical Corporation is 1629022561. It was assigned to this organization in the NPPES registry on May 22, 2006. The provider is doing business as Primelife Medical Group, Inc..

Where is Mc Ibanez Medical Corporation located?

Mc Ibanez Medical Corporation is located at 8100 Timberlake Way Suite C, Sacramento, CA 95823. The listed phone number is (916) 681-5000.

What is Mc Ibanez Medical Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Mc Ibanez Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0988435) is associated with this NPI, valid through June 26, 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 Mc Ibanez Medical Corporation was last updated on May 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.