MERCY MEDICAL GROUP, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION
NPI 1912021163
Clinic/Center - Multi-Specialty in Sacramento, CA

Active since March 16, 2007CLIA 05D0911588 · Microscopy
8120 TIMBERLAKE WAY, SACRAMENTO, CA 95823(916) 681-6000(916) 681-6135 Get Directions Write a Review

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

About Mercy Medical Group, A Service Of Dignity Health Medical Foundation NPPES

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

MERCY MEDICAL GROUP, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION (NPI 1912021163) is a healthcare organization registered as a multi-specialty in Sacramento, California and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through February 8, 2028 and lists Theresa M Hylen, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1912021163
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameDIGNITY HEALTH MEDICAL FOUNDATION
Location Address8120 TIMBERLAKE WAYSacramento, CA 95823-5412
Mailing AddressPo Box 60000, File #72938San Francisco, CA 94160-2938 · (916) 733-3397
Fax(916) 681-6135
Organization SubpartYes
Authorized OfficialTheresa M HylenChief Financial Officer · (916) 851-2559
Enumeration DateMarch 16, 2007
Last NPPES UpdateNovember 18, 2020
NPPES CertifiedNovember 18, 2020
✔ NPI 1912021163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
8120 TIMBERLAKE WAY, Sacramento, CA 95823

Other Names 1

Doing Business AsMercy Medical Group, A Service Of Dignity Health Medical Foundation

Other Identifiers 7

OtherKYRBlue Cross
Other983Health Net
MedicaidGR0050151CA
Other0019838Cigna
Other476040022Dme Supplier #
OtherZZZ43962ZBlue Shield
Other195Health Net

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 Medical Group, 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 Medical Group, A Service Of Dignity Health Medical Foundation, which bills Medicare for the services they deliver. Of these, 15 practice at this address and 280 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
Nurse Practitioner
NPI 1629653761
8120 TIMBERLAKE WAY STE 107
Sacramento, CA 95823
(916) 681-6000
✔ PECOS✔ Accepts MedicareSame address
Geriatric Medicine
NPI 1700062270
8120 TIMBERLAKE WAY SUITE 107
Sacramento, CA 95823
(916) 681-6000
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1285663930
8120 TIMBERLAKE WAY
Sacramento, CA 95823
(916) 681-6000
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1891779740
8120 TIMBERLAKE WAY STE 101
Sacramento, CA 95823
(916) 681-6159
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1437715638
8120 TIMBERLAKE WAY STE 107
Sacramento, CA 95823
(916) 681-6000
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1306285739
8120 TIMBERLAKE WAY STE 101
Sacramento, CA 95823
(916) 681-6159
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1205904646
8120 TIMBERLAKE WAY STE 102
Sacramento, CA 95823
(916) 681-6102
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1538659321
8120 TIMBERLAKE WAY STE 107
Sacramento, CA 95823
(916) 681-6000
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1790996072
8120 TIMBERLAKE WAY STE 102
Sacramento, CA 95823
(916) 681-6102
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1285936757
8120 TIMBERLAKE WAY
Sacramento, CA 95823
(916) 681-6000
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1942307947
8120 TIMBERLAKE WAY
Sacramento, CA 95823
(916) 681-6000
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1952768376
8120 TIMBERLAKE WAY STE 107
Sacramento, CA 95823
(916) 681-6000
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1598384695
8120 TIMBERLAKE WAY STE 107
Sacramento, CA 95823
(916) 681-6000
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1659450047
8120 TIMBERLAKE WAY
Sacramento, CA 95823
(916) 681-6000
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1881918647
8120 TIMBERLAKE WAY STE 107
Sacramento, CA 95823
(916) 681-1866
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1114360245
8120 TIMBERLAKE WAY SUITE 102
Sacramento, CA 95823
(916) 681-6102
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1346280245
8120 TIMBERLAKE WAY STE 107
Sacramento, CA 95823
(916) 681-6000
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1164653523
8120 TIMBERLAKE WAY STE 107
Sacramento, CA 95823
(916) 924-6400
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1225284359
8120 TIMBERLAKE WAY STE 107
Sacramento, CA 95823
(916) 661-6000
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1568422079
8120 TIMBERLAKE WAY STE 107
Sacramento, CA 95823
(916) 681-6000
✔ PECOS✔ Accepts Medicare0.1 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 for Provider-Performed Microscopy Procedures (PPMP) 05D0911588

Dignity Health Medical Foundation · Sacramento, CA
Active · expires Feb 8, 2028
CLIA Number05D0911588
Laboratory TypePhysician Office
Certificate Effective DateFebruary 9, 2026
Certificate Expiration DateFebruary 8, 2028
Laboratory DirectorJennifer Overbey
Laboratory Phone(916) 681-6000
Laboratory LocationDignity Health Medical Foundation8120 Timberlake Way, Ste 107, Sacramento, CA 95826
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 1912021163. It was assigned to this organization in the NPPES registry on March 16, 2007. The provider is doing business as Mercy Medical Group, A Service Of Dignity Health Medical Foundation.

Where is Dignity Health Medical Foundation located?

Dignity Health Medical Foundation is located at 8120 Timberlake Way, Sacramento, CA 95823. The listed phone number is (916) 681-6000.

What is Dignity Health Medical Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

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, 15 practice at this address and 280 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 for Provider-Performed Microscopy Procedures (PPMP) (number 05D0911588) is associated with this NPI, valid through February 8, 2028. 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.