MEDICARE: ELICA HEALTH CENTERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	261QF0400X	Federally Qualified Health Center (FQHC)

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CB101A	OTHER		MEDICARE PART B

General Provider Information

NPI Number	:	1457895302
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELICA HEALTH CENTERS

Provider Business Mailing Address
First Line	:	1860 HOWE AVE STE 440
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95825-1098
Country	:	US
Telephone Number	:	916-569-8484
Fax Number	:	916-256-2214

Provider Business Practice Location Address
First Line	:	923 V ST
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95818-1331
Country	:	US
Telephone Number	:	916-454-2345
Fax Number	:	916-890-3828

Authorized Official
Title or Position	:	CEO
Name	:	TATYANA BAK
Credential	:
Telephone Number	:	916-569-8484

Provider Enumeration Date	:	12/12/2016
Last Update Date	:	03/08/2022

Similar Medicare Providers

1841209087 — HEALTH FOR ALL, INC.
Practice Location Address:

923 V ST
SACRAMENTO, CA
95818-1331

Practice Phone: 916-448-6553
Practice Fax: 916-448-5647

1669681219 — MRS. BEHANG MAI-WOODS-ANSTAETT P.A.
Practice Location Address:

923 V ST
SACRAMENTO, CA
95818-1331

Practice Phone: 916-448-6553
Practice Fax: 916-448-5647

1629120795 — DR. DONALD BRUCE HUFFORD M.D.
Practice Location Address:

1331 GARDEN HWY , SUITE 100
SACRAMENTO, CA
95833-9755

Practice Phone: 916-563-3186
Practice Fax: 916-563-3182

1619196102 — GLOBAL MOBILITY ACCESS
Practice Location Address:

6778 VILLA JUARES CIR
SACRAMENTO, CA
95828-1331

Practice Phone: 916-383-2389
Practice Fax: 916-383-2389

1033515028 — STRATEGIES FOR CHANGE
Practice Location Address:

2250 JOHN STILL DR
SACRAMENTO, CA
95832-1331

Practice Phone: 916-395-3552
Practice Fax: 916-473-5766

1861921736 — SAHEBJIT SINGH
Practice Location Address:

1805 V ST
SACRAMENTO, CA
95818-1614

Practice Phone: 916-410-2878
Practice Fax:

Directions to “ELICA HEALTH CENTERS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.