<unavail> in Sacramento, CA - Medicare Clinic/Center

is a medicare enrolled mental health clinic (Clinic/center - Adult Mental Health) in Sacramento, California. The current practice location for is 2012 19th St Ste 100, Sacramento, California. For appointments, you can reach them via phone at (916) 538-6498. The mailing address for is 2012 19th St Ste 100, Sacramento, California and phone number is (916) 538-6498.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1831854447. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (916) 538-6498.

Contact Information


	2012 19th St Ste 100 Sacramento CA 95818-1668
	(916) 538-6498
	(916) 498-2457

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Clinic/Center
Location	2012 19th St Ste 100, Sacramento, California
Authorized Official Name and Position	Alya Zia Ahmad (CHIEF OPERATING OFFICER)
Authorized Official Contact	5596237858
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
2012 19th St Ste 100 Sacramento CA 95818-1668 Ph: (916) 538-6498	2012 19th St Ste 100 Sacramento CA 95818-1668 Ph: (916) 538-6498

NPI Details:

NPI Number	1831854447
Provider Enumeration Date	11/08/2021
Last Update Date	02/07/2023
Certification Date	02/07/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	3577939826
Medicare Enrollment ID	O20221012000974

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831854447	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QM0801X	Clinic/center - Mental Health (including Community Mental Health Center)	(* (Not Available))	Secondary
261QM0850X	Clinic/center - Adult Mental Health	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	David W Smith
Provider Type	Practitioner - Psychiatry
Provider Identifiers	NPI Number: 1114902178 PECOS PAC ID: 3779581285 Enrollment ID: I20061116000605

Provider Name	Tasnim A Khan
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1740277227 PECOS PAC ID: 4880653807 Enrollment ID: I20180309001014

Reviews and Comments

Clinic/Center in Sacramento, CA

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Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 25 Cadillac Dr #132, Sacramento, CA 95825 Phone: 916-494-9218 Fax: 916-282-1698
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- Medicare Mental Health Clinic in Sacramento, CA