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SUNRISE HEALTH & WELLNESS CENTER, LLC
NPI 1952809592
Family Medicine - Addiction Medicine in Rancho Cordova, CA

Active since January 29, 2018CLIA 05D2165384 · Waiver
10089 FOLSOM BLVD. SUITES A & C, RANCHO CORDOVA, CA 95670(916) 366-6531 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sunrise Health & Wellness Center, Llc NPPES

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

SUNRISE HEALTH & WELLNESS CENTER, LLC (NPI 1952809592) is a healthcare organization registered as an addiction medicine in Rancho Cordova, California and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through April 24, 2027, maintains a secondary practice location in Rancho Cordova, and lists Ernest Vasti, Owner, as its authorized official.

NPPES Registry Identity

NPI1952809592
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameSUNRISE HEALTH & WELLNESS CENTER, LLC
Location Address10089 FOLSOM BLVD. SUITES A & CRancho Cordova, CA 95670-1935
Mailing AddressPo Box 4057Stockton, CA 95204-0057
Phone(916) 366-6531
Organization SubpartNo
Authorized OfficialErnest VastiOwner · (209) 463-0891
Enumeration DateJanuary 29, 2018
Last NPPES UpdateOctober 22, 2020
NPPES CertifiedOctober 22, 2020
✔ NPI 1952809592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in CA · G54133
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
10089 FOLSOM BLVD. SUITES A & C, Rancho Cordova, CA 95670
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Secondary Practice Location 1

Location 110089 Folsom Blvd Ste ARancho Cordova, CA 95670-1935 · Phone (209) 463-0891

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 05D2165384

Sunrise Health & Wellness Center, LLC · Rancho Cordova, CA
Active · expires Apr 24, 2027
CLIA Number05D2165384
Laboratory TypeMethadone Clinic
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorErnest J. Vasti
Laboratory Phone(916) 366-6531
Laboratory LocationSunrise Health & Wellness Center, LLC10089 Foslom Boulevard Suite A, Rancho Cordova, CA 95670
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.
378 services20 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.
337 services16 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 Sunrise Health & Wellness Center, LLC's NPI number?

The NPI number for Sunrise Health & Wellness Center, LLC is 1952809592. It was assigned to this organization in the NPPES registry on January 29, 2018.

Where is Sunrise Health & Wellness Center, LLC located?

Sunrise Health & Wellness Center, LLC is located at 10089 Folsom Blvd. Suites A & C, Rancho Cordova, CA 95670. The listed phone number is (916) 366-6531.

What is Sunrise Health & Wellness Center, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Does Sunrise Health & Wellness Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2165384) is associated with this NPI, valid through April 24, 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 Sunrise Health & Wellness Center, LLC was last updated on October 22, 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.