One Community Health | |
1500 21st St Sacramento CA 95814-5216 | |
(916) 443-3299 | |
Not Available |
Full Name | One Community Health |
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Speciality | Clinic/Center |
Location | 1500 21st St, Sacramento, California |
Authorized Official Name and Position | Michelle Monroe (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 9169146240 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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One Community Health 1500 21st St Sacramento CA 95814-5216 Ph: (916) 443-3299 | One Community Health 1500 21st St Sacramento CA 95814-5216 Ph: (916) 443-3299 |
NPI Number | 1447297379 |
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Provider Enumeration Date | 05/31/2006 |
Last Update Date | 10/31/2024 |
Medicare PECOS PAC ID | 2769418151 |
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Medicare Enrollment ID | O20050718000377 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447297379 | NPI | - | NPPES |
CMM70424F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
Provider Name | Michael S Prado |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1245262948 PECOS PAC ID: 2567359730 Enrollment ID: I20040302000886 |
Provider Name | Vikram Khanna |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821071986 PECOS PAC ID: 7113987090 Enrollment ID: I20041014000898 |
Provider Name | Jeffrey M Gerstein |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1609989649 PECOS PAC ID: 2961462874 Enrollment ID: I20041014001112 |
Provider Name | Simon Chi Yan Chan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063431179 PECOS PAC ID: 4587613971 Enrollment ID: I20050112000689 |
Provider Name | Vera S Go |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1225012750 PECOS PAC ID: 6507879129 Enrollment ID: I20060727000413 |
Provider Name | David W Smith |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1114902178 PECOS PAC ID: 3779581285 Enrollment ID: I20061116000605 |
Provider Name | Stuart H Cohen |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1043290455 PECOS PAC ID: 2769587104 Enrollment ID: I20070413000355 |
Provider Name | Gregory P Melcher |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1508846387 PECOS PAC ID: 6901901347 Enrollment ID: I20070413000379 |
Provider Name | Paolo V Troia-cancio |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538141619 PECOS PAC ID: 5890890156 Enrollment ID: I20070413000589 |
Provider Name | David M Asmuth |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972573046 PECOS PAC ID: 6709981061 Enrollment ID: I20070413000591 |
Provider Name | Richard B Pollard |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1053391466 PECOS PAC ID: 8527163880 Enrollment ID: I20070413000592 |
Provider Name | Phillip Anthony Cole |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386793214 PECOS PAC ID: 8123111572 Enrollment ID: I20070830000733 |
Provider Name | Margaret A Junker |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1811922990 PECOS PAC ID: 1355437831 Enrollment ID: I20071013000113 |
Provider Name | Daniel S Brannigan |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1851582050 PECOS PAC ID: 9931297561 Enrollment ID: I20071115000516 |
Provider Name | Harry Ward |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992815336 PECOS PAC ID: 0143249441 Enrollment ID: I20080411000608 |
Provider Name | Lindsey Dawson |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1326015975 PECOS PAC ID: 5294895769 Enrollment ID: I20081114000112 |
Provider Name | Andrew D Factor |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891806477 PECOS PAC ID: 8921168204 Enrollment ID: I20081117000250 |
Provider Name | Shelly L Henderson |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1205097011 PECOS PAC ID: 4880754936 Enrollment ID: I20081119000066 |
Provider Name | Gary Wade Nolan |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1902934193 PECOS PAC ID: 1557468568 Enrollment ID: I20111114000658 |
Provider Name | Micaela C Godzich |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841422599 PECOS PAC ID: 9234315821 Enrollment ID: I20120907000340 |
Provider Name | Pablo Sarmiento |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720357783 PECOS PAC ID: 6507001468 Enrollment ID: I20130325000191 |
Provider Name | Michelle D Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982738175 PECOS PAC ID: 6305906652 Enrollment ID: I20140724000128 |
Provider Name | Connie C Leeper |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194091165 PECOS PAC ID: 5294952313 Enrollment ID: I20140814000448 |
Provider Name | Karen E Mark |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750491122 PECOS PAC ID: 8628175494 Enrollment ID: I20150129000052 |
Provider Name | Parminder P Jagur |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1083053342 PECOS PAC ID: 1153634357 Enrollment ID: I20150716002842 |
Provider Name | Janet J Hendrickson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295082584 PECOS PAC ID: 2769794056 Enrollment ID: I20160613000902 |
Provider Name | Bruce H Weng |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1952472425 PECOS PAC ID: 0042314288 Enrollment ID: I20160908001930 |
Provider Name | Kaitlin A Soracco |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1881148179 PECOS PAC ID: 3173819364 Enrollment ID: I20160914002975 |
Provider Name | Andrew J Luckett |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013351550 PECOS PAC ID: 4587966312 Enrollment ID: I20160922002153 |
Provider Name | Sarah E Waldman |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1376832550 PECOS PAC ID: 3173802329 Enrollment ID: I20161111000671 |
Provider Name | Corina L Gonzalez |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1558673327 PECOS PAC ID: 8921242470 Enrollment ID: I20170209001061 |
Provider Name | Ranjeeta Singh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609213784 PECOS PAC ID: 0143590604 Enrollment ID: I20170717002746 |
Provider Name | Lisa C Martinez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467998039 PECOS PAC ID: 9537430798 Enrollment ID: I20170807000314 |
Provider Name | Anne Spichler Moffarah |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1467868430 PECOS PAC ID: 0941575260 Enrollment ID: I20171011003816 |
Provider Name | Anna Kong |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548649361 PECOS PAC ID: 8325305980 Enrollment ID: I20171206003271 |
Provider Name | Joel Robert Eidelson |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1457768566 PECOS PAC ID: 0749540987 Enrollment ID: I20180207001601 |
Provider Name | Erica C Feder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144489998 PECOS PAC ID: 1052632502 Enrollment ID: I20180213001370 |
Provider Name | Shawn M Youngs |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063447944 PECOS PAC ID: 6901893494 Enrollment ID: I20180302001779 |
Provider Name | Veronica D Ramirez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801199260 PECOS PAC ID: 8729263512 Enrollment ID: I20180507002221 |
Provider Name | Archana K Reddy |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1740667047 PECOS PAC ID: 9638427859 Enrollment ID: I20180813002074 |
Provider Name | Lindsey N Zamarripa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528540911 PECOS PAC ID: 1052665528 Enrollment ID: I20181120000756 |
Provider Name | Jay A Keystone |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306115001 PECOS PAC ID: 8325383250 Enrollment ID: I20181221001193 |
Provider Name | Kelly C Snook Fehr |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1275079816 PECOS PAC ID: 3274870704 Enrollment ID: I20190122003447 |
Provider Name | Dwijavanthi Prasanna Kumar |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700271731 PECOS PAC ID: 9234478058 Enrollment ID: I20190221003151 |
Provider Name | Na'amah Razon |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295198455 PECOS PAC ID: 4981938958 Enrollment ID: I20190625001650 |
Provider Name | Shelby H Mueller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538611355 PECOS PAC ID: 5991085029 Enrollment ID: I20190827002252 |
Provider Name | Sara Evangeline Delaney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548697733 PECOS PAC ID: 1759713415 Enrollment ID: I20191118002966 |
Provider Name | Stanford Ly |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1407219330 PECOS PAC ID: 1759713449 Enrollment ID: I20191119000592 |
Provider Name | Deborah G Butz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063660546 PECOS PAC ID: 0042361198 Enrollment ID: I20191119001515 |
Provider Name | Simone Y Asare |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831545185 PECOS PAC ID: 0840623112 Enrollment ID: I20191129000206 |
Provider Name | Eric J Wilson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881056307 PECOS PAC ID: 4284985607 Enrollment ID: I20191211003119 |
Provider Name | Crystal S Deng |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891340360 PECOS PAC ID: 0749613321 Enrollment ID: I20191212001901 |
Provider Name | Kaitlyn A Hardin |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1689069759 PECOS PAC ID: 9436582905 Enrollment ID: I20191215000042 |
Provider Name | Karishma K Chawla |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295150852 PECOS PAC ID: 8921432360 Enrollment ID: I20191218001237 |
Provider Name | Chinyere J Onwuli |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851890131 PECOS PAC ID: 6507290236 Enrollment ID: I20200106000236 |
Provider Name | Shantha M Parameswaran |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1497018196 PECOS PAC ID: 6507112679 Enrollment ID: I20200218002299 |
Provider Name | Angel N Desai |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1639411093 PECOS PAC ID: 1052635794 Enrollment ID: I20200715002094 |
Provider Name | Naomi Hauser |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1215319587 PECOS PAC ID: 9436463650 Enrollment ID: I20201028002059 |
Provider Name | Andrew J Jones |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174027692 PECOS PAC ID: 9335549559 Enrollment ID: I20210609003232 |
Provider Name | Kimberly Ann Wells |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902484587 PECOS PAC ID: 0547663031 Enrollment ID: I20210721001559 |
Provider Name | Zeynep B Uzumcu |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174056071 PECOS PAC ID: 2264709047 Enrollment ID: I20210927000845 |
Provider Name | Jessamyn C Phillips |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386277861 PECOS PAC ID: 8022422518 Enrollment ID: I20211014003161 |
Provider Name | Alicia W Belden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609545458 PECOS PAC ID: 7911395504 Enrollment ID: I20211101002809 |
Provider Name | Yoojeong K Eddy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306475033 PECOS PAC ID: 7012309735 Enrollment ID: I20220110000129 |
Provider Name | Kimberly N Gaul |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1679239156 PECOS PAC ID: 6406248954 Enrollment ID: I20220113001799 |
Provider Name | Frank A Molina |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316519341 PECOS PAC ID: 8325430507 Enrollment ID: I20220120001027 |
Provider Name | Xuan T Pham |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1649621335 PECOS PAC ID: 1355635160 Enrollment ID: I20220309002180 |
Provider Name | Adeola A Oni-orisan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124523774 PECOS PAC ID: 0941695837 Enrollment ID: I20220310002282 |
Provider Name | Eva Le Wong |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1881157717 PECOS PAC ID: 2769864115 Enrollment ID: I20220801002589 |
Provider Name | Lynn Tabb Noyce |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134867260 PECOS PAC ID: 7012399009 Enrollment ID: I20220808002772 |
Provider Name | Rebecca R Nkrumah |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1700302189 PECOS PAC ID: 6507240389 Enrollment ID: I20220827000361 |
Provider Name | Monikankana A Alem |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275095259 PECOS PAC ID: 7911382924 Enrollment ID: I20220912002042 |
Provider Name | Niyati K Narsana |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1578906723 PECOS PAC ID: 0143518779 Enrollment ID: I20220913003825 |
Provider Name | Caroline Sanderson |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1609371806 PECOS PAC ID: 6305194838 Enrollment ID: I20230104001102 |
Provider Name | Byron Amilcar Ruiz |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1619454253 PECOS PAC ID: 2860866555 Enrollment ID: I20230320003055 |
Provider Name | Aishan Shi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548723067 PECOS PAC ID: 6002141009 Enrollment ID: I20230627001878 |
Provider Name | War War Ko |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386207421 PECOS PAC ID: 8628438058 Enrollment ID: I20230718000800 |
Provider Name | Janae Nariko Yoshida |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1649984527 PECOS PAC ID: 1153782818 Enrollment ID: I20230728000721 |
Provider Name | Melanie Nilupul Wathugala |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841855525 PECOS PAC ID: 6901270685 Enrollment ID: I20230808001635 |
Provider Name | Asher Kaufman |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1356945059 PECOS PAC ID: 6608230842 Enrollment ID: I20230907000042 |
Provider Name | Soubhi Alhayek |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1558990952 PECOS PAC ID: 1254752041 Enrollment ID: I20230911001811 |
Provider Name | Pamela J Hammon |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265047310 PECOS PAC ID: 9436513165 Enrollment ID: I20230914000975 |
Provider Name | Hojoon You |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225455884 PECOS PAC ID: 4082943493 Enrollment ID: I20230919002002 |
Provider Name | Kimrey Ann Van Perre |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366932360 PECOS PAC ID: 7214382258 Enrollment ID: I20231011004017 |
Provider Name | Rachel M Woodside |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538546734 PECOS PAC ID: 6103230560 Enrollment ID: I20231121000674 |
Provider Name | Sam Colby |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1174912232 PECOS PAC ID: 4486002698 Enrollment ID: I20231129000976 |
Provider Name | Sarah Semon |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457988446 PECOS PAC ID: 2860810421 Enrollment ID: I20231201001905 |
Provider Name | Kristin Soriano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194407676 PECOS PAC ID: 1951753664 Enrollment ID: I20240118001666 |
Provider Name | Cari Delucchi |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1679974240 PECOS PAC ID: 3870935356 Enrollment ID: I20240529003580 |
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