BLOSSOM RIDGE MEDICAL, INC.
NPI 1679117972
Clinic/Center - Community Health in Sacramento, CA

Q: What is Blossom Ridge Medical, Inc.'s NPI number?

The NPI number for Blossom Ridge Medical, Inc. is 1679117972. It was assigned to this organization in the NPPES registry on October 30, 2019.

Q: What is Blossom Ridge Medical, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Active since October 30, 2019

2554 MILLCREEK DR, SACRAMENTO, CA 95833(800) 991-6147(916) 382-7683 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 23, 2026, Jul 23, 2024, Mar 2, 2020 and 1 more (4 updates tracked since 2019).

On this page

About Blossom Ridge Medical, Inc. NPPES

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

BLOSSOM RIDGE MEDICAL, INC. (NPI 1679117972) is a healthcare organization registered as a community health in Sacramento, California and active in the NPI registry since October 2019. The organization lists Gerald Agustin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679117972

Entity TypeOrganization

Primary Taxonomy261QC1500X

Legal Business NameBLOSSOM RIDGE MEDICAL, INC.

Location Address2554 MILLCREEK DRSacramento, CA 95833-3678

Mailing Address2554 Millcreek DrSacramento, CA 95833-3678 · (800) 991-6147 · Fax (916) 382-7683

Phone(800) 991-6147

Fax(916) 382-7683

Organization SubpartNo

Authorized OfficialGerald AgustinCeo · (800) 991-6147

Enumeration DateOctober 30, 2019

Last NPPES UpdateMarch 23, 20264 updates tracked since enumeration

NPPES CertifiedMarch 23, 2026

✔ NPI 1679117972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities

Taxonomy Code261QC1500X

2554 MILLCREEK DR, Sacramento, CA 95833

Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

SAVE FAMILY FOUNDATION

Community/Behavioral Health

2554 MILLCREEK DR
SACRAMENTO, CA 95833

Sacramento County (916) 359-9273

GLORIA NGUYEN PA

Physician Assistant

2554 MILLCREEK DR
SACRAMENTO, CA 95833

Sacramento County (916) 231-4747

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 Blossom Ridge Medical, Inc.'s NPI number?

The NPI number for Blossom Ridge Medical, Inc. is 1679117972. It was assigned to this organization in the NPPES registry on October 30, 2019.

Where is Blossom Ridge Medical, Inc. located?

Blossom Ridge Medical, Inc. is located at 2554 Millcreek Dr, Sacramento, CA 95833. The listed phone number is (800) 991-6147.

What is Blossom Ridge Medical, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Blossom Ridge Medical, Inc. was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.