MEDICARE: THE NORCAL CENTER FOR MEN

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1255296356
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE NORCAL CENTER FOR MEN

Provider Business Mailing Address
First Line	:	1104 CORPORATE WAY
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95831-3875
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1104 CORPORATE WAY
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95831-3875
Country	:	US
Telephone Number	:	916-907-6689
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	FRANCIS DAVID
Credential	:	LCSW
Telephone Number	:	916-907-6689

Provider Enumeration Date	:	12/20/2025
Last Update Date	:	12/20/2025

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Directions to “THE NORCAL CENTER FOR MEN ” Practice Location

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