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

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: October 25, 2026.

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

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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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

C O R E Medical Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to C O R E Medical Clinic Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Randall Stenson, MD
Psychiatry
NPI 1164465357
2100 CAPITOL AVE STE A
Sacramento, CA 95816
(916) 442-4985
✔ PECOS5.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

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 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.

Where is C O R E Medical Clinic Inc located?

C O R E Medical Clinic Inc is located at 3990 Industrial Blvd, West Sacramento, CA 95691. The listed phone number is (916) 442-4985.

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.

Is C O R E Medical Clinic Inc enrolled in Medicare?

Yes. C O R E Medical Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through C O R E Medical Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to C O R E Medical Clinic Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for C O R E Medical Clinic Inc was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.