MERCY MEDICAL GROUP, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION
NPI 1912021163
Clinic/Center - Multi-Specialty in Sacramento, CA
NPI Status: Active since March 16, 2007
Contact Information
8120 TIMBERLAKE WAY
SACRAMENTO, CA
ZIP 95823
Phone: (916) 681-6000
Fax: (916) 681-6135
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 05D0911588
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-08-2028
About MERCY MEDICAL GROUP, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION
This page provides the complete NPI Profile along with additional information for Mercy Medical Group, A Service Of Dignity Health Medical Foundation, a provider established in Sacramento, California operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1912021163 assigned on March 2007. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Mercy Medical Group, A Service Of Dignity Health Medical Foundation. The authorized official of this NPI record is Theresa M Hylen (Chief Financial Officer)
- NPI
- 1912021163
- Provider Legal Name
- DIGNITY HEALTH MEDICAL FOUNDATION
- Other Organization Name
- MERCY MEDICAL GROUP, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 8120 TIMBERLAKE WAY SACRAMENTO, CA 95823
- Location Phone
- (916) 681-6000
- Location Fax
- (916) 681-6135
- Mailing Address
- PO BOX 60000 FILE #72938 SAN FRANCISCO, CA 94160
- Mailing Phone
- (916) 733-3397
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 03-16-2007
- Last Update Date
- 11-18-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| KYR | OTHER (01) | BLUE CROSS | |
| 983 | OTHER (01) | HEALTH NET | |
| GR0050151 | MEDICAID (05) | CA | |
| 0019838 | OTHER (01) | CIGNA | |
| 476040022 | OTHER (01) | DME SUPPLIER # | |
| ZZZ43962Z | OTHER (01) | BLUE SHIELD | |
| 195 | OTHER (01) | HEALTH NET |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0911588
- Facility Type
- Physician Office
- Certificate Effective Date
- February 09, 2026
- Certificate Expiration Date
- February 08, 2028
- Laboratory Director
- JENNIFER OVERBEY
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Mercy Medical Group, A Service Of Dignity Health Medical Foundation in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1912021163, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 47 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SACRAMENTO, CA 95823
SACRAMENTO, CA 95823
SACRAMENTO, CA 95823
SACRAMENTO, CA 95823
SACRAMENTO, CA 95823
SACRAMENTO, CA 95823
SACRAMENTO, CA 95823
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912021163, enumerated as an "organization" on March 16, 2007.
The provider is located at 8120 TIMBERLAKE WAY SACRAMENTO, CA 95823 and the phone number is (916) 681-6000.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to verify.
