1. Home
  2. Directory
  3. California
  4. North Highlands
  5. Clinic Center
  6. NPI Profile

ELICA HEALTH CENTERS- WATT AVENUE MEDICAL CENTER
NPI 1851893077
Clinic/Center - Federally Qualified Health Center (FQHC) in North Highlands, CA

Active since March 03, 2018
5708 WATT AVENUE, NORTH HIGHLANDS, CA 95660(916) 454-2345(916) 890-3828 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 8, 2022, Jan 28, 2021, Aug 15, 2019 and 2 more (5 updates tracked since 2018).

About Elica Health Centers- Watt Avenue Medical Center NPPES

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

ELICA HEALTH CENTERS- WATT AVENUE MEDICAL CENTER (NPI 1851893077) is a healthcare organization registered as a federally qualified health center (fqhc) in North Highlands, California and active in the NPI registry since March 2018. The organization lists Tatyana Bak, Ceo, as its authorized official.

NPPES Registry Identity

NPI1851893077
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameELICA HEALTH CENTERS
Location Address5708 WATT AVENUENorth Highlands, CA 95660
Mailing Address1860 Howe Ave Ste 440Sacramento, CA 95825-1098 · (916) 569-8484 · Fax (916) 256-2214
Phone(916) 454-2345
Fax(916) 890-3828
Organization SubpartYes
Authorized OfficialTatyana BakCeo · (916) 569-8484
Enumeration DateMarch 3, 2018
Last NPPES UpdateMarch 8, 20225 updates tracked since enumeration
NPPES CertifiedMarch 8, 2022
✔ NPI 1851893077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
5708 WATT AVENUE, North Highlands, CA 95660
Open in Google Maps ↗

Other Names 1

Other NameElica Health Centers- Watt Avenue Medical Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elica Health Centers- Watt Avenue Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

90

Medicare enrollment records show 90 clinicians reassign Medicare billing to Elica Health Centers- Watt Avenue Medical Center, which bills Medicare for the services they deliver. Of these, 53 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Nurse Practitioner31
Family Practice12
Pediatric Medicine11
Internal Medicine10
Clinical Social Worker9
Dentist6
Registered Dietitian or Nutrition Professional3
General Practice2
5 other specialties6

Nearest to this location (20)

See all 90
Shaunda Crane, FNP
Nurse Practitioner
NPI 1558067017
4815 WATT AVE
North Highlands, CA 95660
(916) 569-8484
✔ PECOS✔ Accepts Medicare1.2 mi
Sarah Gardina, FNP
Nurse Practitioner
NPI 1689306565
4815 WATT AVE
North Highlands, CA 95660
(916) 454-2345
✔ PECOS1.2 mi
Dominique Hypolite, LCSW
Clinical Social Worker
NPI 1679294524
4815 WATT AVE
North Highlands, CA 95660
(916) 454-2345
✔ PECOS1.2 mi
Farzaneh Mohammadi, M.D.
Internal Medicine
NPI 1093753410
4815 WATT AVE
North Highlands, CA 95660
(916) 454-2345
✔ PECOS✔ Accepts Medicare1.2 mi
Toni Moody, M.D.
Pediatric Medicine
NPI 1083792477
4815 WATT AVE
North Highlands, CA 95660
(916) 454-2345
✔ PECOS1.2 mi
Naomi Silver, LCSW
Clinical Social Worker
NPI 1982252540
4815 WATT AVE
North Highlands, CA 95660
(916) 454-2345
✔ PECOS1.2 mi
Sunnie Skiles, MD
Pediatric Medicine
NPI 1033281365
4815 WATT AVE
North Highlands, CA 95660
(916) 454-2345
✔ PECOS1.2 mi
Natali Sokolovski, NP
Nurse Practitioner
NPI 1679316954
4815 WATT AVE
North Highlands, CA 95660
(916) 454-2345
✔ PECOS✔ Accepts Medicare1.2 mi
Nimrat Tung
Dentist
NPI 1477276335
4815 WATT AVE
North Highlands, CA 95660
(916) 569-8484
✔ PECOS1.2 mi
Quoc Christopher Nguyen, DDS
Dentist
NPI 1215410170
4815 WATT AVE
North Highlands, CA 95660
(916) 454-2345
✔ PECOS1.2 mi
Elena Zhuchenko, O.D.
Optometry
NPI 1265740526
5777 GREENBACK LN 100
Sacramento, CA 95841
(916) 231-0034
✔ PECOS3.1 mi
Dmitriy Bazaron, CNP
Nurse Practitioner
NPI 1043728249
3234 MARYSVILLE BLVD
Sacramento, CA 95815
(916) 454-2345
✔ PECOS✔ Accepts Medicare4.1 mi
Andrew Bowman, MD
Pediatric Medicine
NPI 1306409586
3234 MARYSVILLE BLVD
Sacramento, CA 95815
(916) 454-2345
✔ PECOS4.1 mi
Yetzenia Moura, FNP
Nurse Practitioner
NPI 1508599648
3234 MARYSVILLE BLVD
Sacramento, CA 95815
(916) 454-2345
✔ PECOS4.1 mi
Elaine Shan, M.D.
Pediatric Medicine
NPI 1053767434
3234 MARYSVILLE BLVD
Sacramento, CA 95815
(918) 407-2495
✔ PECOS4.1 mi
Lashawnna Tyler, FNP
Nurse Practitioner
NPI 1477354231
3234 MARYSVILLE BLVD
Sacramento, CA 95815
(916) 454-2345
✔ PECOS4.1 mi
Antoine Dipsia, M.D.
Family Practice
NPI 1013093558
4215 NORWOOD AVE #01
W. Sacramento, CA 95838
(916) 564-0521
✔ PECOS✔ Accepts Medicare4.4 mi
Mohammad Anwar, DDS
Dentist
NPI 1366040412
1750 WRIGHT ST STE A
Sacramento, CA 95825
(916) 569-8484
✔ PECOS5.2 mi
Nicole Abeleda, LCSW
Clinical Social Worker
NPI 1932821881
2400 GLENDALE LN
Sacramento, CA 95825
(916) 454-2345
✔ PECOS5.2 mi
Marinelle Bartolome, RDN
Registered Dietitian or Nutrition Professional
NPI 1740976604
2400 GLENDALE LN
Sacramento, CA 95825
(916) 454-2345
5.2 mi
See all 90 clinicians

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

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 Elica Health Centers's NPI number?

The NPI number for Elica Health Centers is 1851893077. It was assigned to this organization in the NPPES registry on March 3, 2018. The provider is also known as Elica Health Centers- Watt Avenue Medical Center.

Where is Elica Health Centers located?

Elica Health Centers is located at 5708 Watt Avenue, North Highlands, CA 95660. The listed phone number is (916) 454-2345.

What is Elica Health Centers's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Elica Health Centers enrolled in Medicare?

Yes. Elica Health Centers is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elica Health Centers?

According to the CMS Revalidation Reassignment List (October 2026 release), 90 clinicians in 13 Medicare specialties reassign their Medicare billing to Elica Health Centers. 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 Nurse Practitioner (31), Family Practice (12) and Pediatric Medicine (11). Of these, 53 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Elica Health Centers was last updated on March 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.