| El Hogar Community Services Inc. | |
|
630 Bercut Dr Ste C Sacramento CA 95811-0110 | |
| (916) 363-1553 | |
| Not Available |
| Full Name | El Hogar Community Services Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 630 Bercut Dr Ste C, Sacramento, California |
| Authorized Official Name and Position | Genelle Cazares (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9164410226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| El Hogar Community Services Inc. 3841 N Freeway Blvd Ste 245 Sacramento CA 95834-1969 Ph: (916) 441-0226 | El Hogar Community Services Inc. 630 Bercut Dr Ste C Sacramento CA 95811-0110 Ph: (916) 363-1553 |
| NPI Number | 1932286168 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 07/06/2026 |
| Certification Date | 07/06/2026 |
| Medicare PECOS PAC ID | 4183881287 |
|---|---|
| Medicare Enrollment ID | O20120201000296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932286168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Pradeep Kumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023188935 PECOS PAC ID: 4587555768 Enrollment ID: I20090727000535 |
| Provider Name | Daniel M Gordon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144342601 PECOS PAC ID: 3870813967 Enrollment ID: I20150513000001 |
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