MERCY IMAGING CENTERS, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION
NPI 1821028200
Clinic/Center - Radiology in Roseville, CA

Active since July 03, 2006CLIA 05D2280430 · Waiver
2110 PROFESSIONAL DR, SUITE 190, ROSEVILLE, CA 95661(916) 787-0404(916) 787-0434 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mercy Imaging Centers, A Service Of Dignity Health Medical Foundation NPPES

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

MERCY IMAGING CENTERS, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION (NPI 1821028200) is a healthcare organization registered as a radiology in Roseville, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 18, 2027 and lists Theresa M Hylen, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1821028200
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameDIGNITY HEALTH MEDICAL FOUNDATION
Location Address2110 PROFESSIONAL DR, SUITE 190Roseville, CA 95661-3752
Mailing Address3000 Q StSacramento, CA 95816-7058 · (916) 733-5701 · Fax (916) 733-3401
Fax(916) 787-0434
Organization SubpartYes
Authorized OfficialTheresa M HylenChief Financial Officer · (916) 851-2559
Enumeration DateJuly 3, 2006
Last NPPES UpdateNovember 18, 2020
NPPES CertifiedNovember 18, 2020
✔ NPI 1821028200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
2110 PROFESSIONAL DR, Roseville, CA 95661

Other Names 1

Doing Business AsMercy Imaging Centers, A Service Of Dignity Health Medical Foundation

Other Identifiers 2

OtherZZZ25297ZCA · Blue Shield
OtherGR001137JCA · Medi-cal

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mercy Imaging Centers, A Service Of Dignity Health Medical Foundation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,178

Medicare enrollment records show 1,178 clinicians reassign Medicare billing to Mercy Imaging Centers, A Service Of Dignity Health Medical Foundation, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 245 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 62

Family Practice169
Hospitalist135
Nurse Practitioner126
Internal Medicine98
Diagnostic Radiology93
Obstetrics/Gynecology50
Pediatric Medicine43
General Surgery28
54 other specialties436

Nearest to this location (20)

See all 1,178
Family Practice
NPI 1740424480
2110 PROFESSIONAL DRIVE, SUITE 120
Roseville, CA 95661
(916) 536-2500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1316275183
2110 PROFESSIONAL DR STE 120
Roseville, CA 95661
(916) 536-2500
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1891037081
2110 PROFESSIONAL DR STE 120
Roseville, CA 95661
(916) 536-2500
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1811144504
2110 PROFESSIONAL DR STE 120
Roseville, CA 95661
(916) 536-2500
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1083056097
2110 PROFESSIONAL DR STE 120
Roseville, CA 95661
(916) 536-2500
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1114599313
2110 PROFESSIONAL DR STE 120
Roseville, CA 95661
(916) 536-2500
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1982995825
2110 PROFESSIONAL DR SUITE 120
Roseville, CA 95661
(916) 536-2500
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1790863470
1600 EUREKA RD
Roseville, CA 95661
(916) 784-4000
✔ PECOS✔ Accepts Medicare0.3 mi
Interventional Radiology
NPI 1962933929
1380 LEAD HILL BLVD STE 100
Roseville, CA 95661
(916) 535-2030
✔ PECOS✔ Accepts Medicare0.7 mi
Interventional Radiology
NPI 1124559356
1380 LEAD HILL BLVD STE 100
Roseville, CA 95661
(916) 535-2030
✔ PECOS✔ Accepts Medicare0.7 mi
Diagnostic Radiology
NPI 1588895163
1380 LEAD HILL BLVD STE 100
Roseville, CA 95661
(916) 535-2030
✔ PECOS✔ Accepts Medicare0.7 mi
Diagnostic Radiology
NPI 1023373297
1380 LEAD HILL BLVD STE 100
Roseville, CA 95661
(916) 535-2030
✔ PECOS✔ Accepts Medicare0.7 mi
Diagnostic Radiology
NPI 1902169287
1380 LEAD HILL BLVD STE 100
Roseville, CA 95661
(916) 535-2030
✔ PECOS✔ Accepts Medicare0.7 mi
Diagnostic Radiology
NPI 1295197598
1380 LEAD HILL BLVD STE 100
Roseville, CA 95661
(916) 535-2030
✔ PECOS✔ Accepts Medicare0.7 mi
Diagnostic Radiology
NPI 1689785024
1380 LEAD HILL BLVD STE 100
Roseville, CA 95661
(916) 535-2030
✔ PECOS✔ Accepts Medicare0.7 mi
Diagnostic Radiology
NPI 1689602294
1380 LEAD HILL BLVD STE 100
Roseville, CA 95661
(916) 535-2030
✔ PECOS✔ Accepts Medicare0.7 mi
Diagnostic Radiology
NPI 1316321920
1380 LEAD HILL BLVD STE 100
Roseville, CA 95661
(916) 535-2030
✔ PECOS✔ Accepts Medicare0.7 mi
Diagnostic Radiology
NPI 1730512021
1380 LEAD HILL BLVD STE 100
Roseville, CA 95661
(916) 535-2030
✔ PECOS✔ Accepts Medicare0.7 mi
Diagnostic Radiology
NPI 1962727552
1380 LEAD HILL BLVD STE 100
Roseville, CA 95661
(916) 535-2030
✔ PECOS✔ Accepts Medicare0.7 mi
Marriage and Family Therapist
NPI 1801463419
3100 DOUGLAS BLVD
Roseville, CA 95661
(916) 774-8300
✔ PECOS✔ Accepts Medicare0.9 mi
See all 1,178 clinicians

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

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 05D2280430

Dignity Health Medical Foundation · Roseville, CA
Active · expires Apr 18, 2027
CLIA Number05D2280430
Laboratory TypePhysician Office
Certificate Effective DateApril 19, 2025
Certificate Expiration DateApril 18, 2027
Laboratory DirectorNamrita Gogia
Laboratory Phone(916) 379-2861
Laboratory LocationDignity Health Medical Foundation3980 Douglas Blvd, Ste 110, Roseville, CA 95661
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Dignity Health Medical Foundation's NPI number?

The NPI number for Dignity Health Medical Foundation is 1821028200. It was assigned to this organization in the NPPES registry on July 3, 2006. The provider is doing business as Mercy Imaging Centers, A Service Of Dignity Health Medical Foundation.

Where is Dignity Health Medical Foundation located?

Dignity Health Medical Foundation is located at 2110 Professional Dr Suite 190, Roseville, CA 95661. The listed phone number is (916) 787-0404.

What is Dignity Health Medical Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Is Dignity Health Medical Foundation enrolled in Medicare?

Yes. Dignity Health Medical Foundation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dignity Health Medical Foundation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,178 clinicians in 62 Medicare specialties reassign their Medicare billing to Dignity Health Medical Foundation. 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. The largest specialties are Family Practice (169), Hospitalist (135) and Nurse Practitioner (126). Of these, 7 practice at this address and 245 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dignity Health Medical Foundation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2280430) is associated with this NPI, valid through April 18, 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 Dignity Health Medical Foundation was last updated on November 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.