C O R E MEDICAL CLINIC INC
NPI 1750865804
Clinic/Center - Methadone in West Sacramento, CA

Q: What is C O R E Medical Clinic Inc's NPI number?

The NPI number for C O R E Medical Clinic Inc is 1750865804. It was assigned to this organization in the NPPES registry on September 24, 2018.

Q: What is C O R E Medical Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Active since September 24, 2018

3990 INDUSTRIAL BLVD, WEST SACRAMENTO, CA 95691(916) 442-4985 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2023, Jul 16, 2021, Sep 24, 2018 (3 updates tracked since 2018).

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About C O R E Medical Clinic Inc NPPES

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

C O R E MEDICAL CLINIC INC (NPI 1750865804) is a healthcare organization registered as a methadone in West Sacramento, California and active in the NPI registry since September 2018. The organization lists Marshall Stenson, Business Services Director, as its authorized official.

NPPES Registry Identity

NPI1750865804

Entity TypeOrganization

Primary Taxonomy261QM2800X

Legal Business NameC O R E MEDICAL CLINIC INC

Location Address3990 INDUSTRIAL BLVDWest Sacramento, CA 95691-3430

Mailing Address2100 Capitol AveSacramento, CA 95816-5721 · (916) 442-4985

Phone(916) 442-4985

Organization SubpartYes

Authorized OfficialMarshall StensonBusiness Services Director · (916) 442-4985

Enumeration DateSeptember 24, 2018

Last NPPES UpdateDecember 8, 20233 updates tracked since enumeration

NPPES CertifiedDecember 8, 2023

✔ NPI 1750865804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities

Taxonomy Code261QM2800X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

3990 INDUSTRIAL BLVD, West Sacramento, CA 95691

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Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067

Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.

1,093 services37 patients

Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure G2078

This service provides an additional 7-day supply of methadone, a medication used to treat opioid addiction, for patients to take at home. It's provided by a Medicare-enrolled opioid treatment program. This service is billed separately from the main treatment procedure.

246 services24 patients

Other Providers at the Same Location NPPES 10

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

WESLEY GOFF CATC II

Counselor (Addiction (Substance Use Disorder))