Healthcare Provider Details
I. General information
NPI: 1710857933
Provider Name (Legal Business Name): GOOD HEALTH MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/11/2025
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5350 MADISON AVE
SACRAMENTO CA
95841-3169
US
IV. Provider business mailing address
5350 MADISON AVE
SACRAMENTO CA
95841-3169
US
V. Phone/Fax
- Phone: 916-677-0008
- Fax:
- Phone: 916-677-0008
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RG0300X |
| Taxonomy | Geriatric Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HELEN
PENSANTI
Title or Position: CEO/OWNER
Credential: MD
Phone: 916-677-0008