1. Home
  2. Directory
  3. California
  4. Sacramento
  5. Non Pharmacy Dispensing Site
  6. NPI Profile

MOLINA SOUTH SACRAMENTO MACK ROAD
NPI 1699153858
Non-Pharmacy Dispensing Site in Sacramento, CA

Active since May 08, 2015
6339 MACK RD, SACRAMENTO, CA 95823(916) 585-7912 Get Directions Write a Review

NPPES record last updated: May 8, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Molina South Sacramento Mack Road NPPES

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

MOLINA SOUTH SACRAMENTO MACK ROAD (NPI 1699153858) is a healthcare organization registered as a non-pharmacy dispensing site in Sacramento, California and active in the NPI registry since May 2015. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1699153858
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameJOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CALIFORNIA
Location Address6339 MACK RDSacramento, CA 95823-4655
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(916) 585-7912
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506
Enumeration DateMay 8, 2015
✔ NPI 1699153858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in CA · 20882
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
6339 MACK RD, Sacramento, CA 95823
Open in Google Maps ↗

Other Names 1

Doing Business AsMolina South Sacramento Mack Road

Other Providers at the Same Location NPPES 18

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

ADRIENNE EUSEBIO WOLOWODIUK LCSW
Social Worker
6339 MACK RD
SACRAMENTO, CA 95823
Sacramento County (562) 499-6191
DR. TERRENCE PATRICK REIFF D.D.S.
Dentist
6339 MACK RD
SACRAMENTO, CA 95823
Sacramento County (916) 454-2345
ELICA HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
6339 MACK RD
SACRAMENTO, CA 95823
Sacramento County (916) 454-2345
DR. CHARLES IVERSON HOOPER D.O.
Family Medicine
6339 MACK RD
SACRAMENTO, CA 95823
Sacramento County (916) 454-2345
DR. ROBERT F DUFRESNE DDS
Dentist
6339 MACK RD
SACRAMENTO, CA 95823
Sacramento County (916) 454-2345
MRS. ASHLEY MARIE ONGJOCO
Nurse Practitioner
6339 MACK RD
SACRAMENTO, CA 95823
Sacramento County (916) 454-2345
JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA
Family Medicine
6339 MACK RD
SACRAMENTO, CA 95823
Sacramento County (916) 585-7912
MANPREET KAUR D.M.D.
Dentist (General Practice)
6339 MACK RD
SACRAMENTO, CA 95823
Sacramento County (916) 454-2345

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 Joseph M Molina MD Professional Corporation Southern California's NPI number?

The NPI number for Joseph M Molina MD Professional Corporation Southern California is 1699153858. It was assigned to this organization in the NPPES registry on May 8, 2015. The provider is doing business as Molina South Sacramento Mack Road.

Where is Joseph M Molina MD Professional Corporation Southern California located?

Joseph M Molina MD Professional Corporation Southern California is located at 6339 Mack Rd, Sacramento, CA 95823. The listed phone number is (916) 585-7912.

What is Joseph M Molina MD Professional Corporation Southern California's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Joseph M Molina MD Professional Corporation Southern California was last updated on May 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.