| Healthy Living Primary Care, Inc | |
|
82 Clarksville Rd Ste 120 Folsom CA 95630-8210 | |
| (916) 983-8868 | |
| (916) 983-8891 |
| Full Name | Healthy Living Primary Care, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 82 Clarksville Rd Ste 120, Folsom, California |
| Authorized Official Name and Position | Joy Liu (PRESIDENT) |
| Authorized Official Contact | 9169838868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Living Primary Care, Inc 2545 E Bidwell St 110 Folsom CA 95630-6440 Ph: (916) 983-9886 | Healthy Living Primary Care, Inc 82 Clarksville Rd Ste 120 Folsom CA 95630-8210 Ph: (916) 983-8868 |
| NPI Number | 1144414293 |
|---|---|
| Provider Enumeration Date | 08/31/2007 |
| Last Update Date | 01/15/2024 |
| Certification Date | 01/15/2024 |
| Medicare PECOS PAC ID | 7618062225 |
|---|---|
| Medicare Enrollment ID | O20070927000419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144414293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A9350 (California) | Primary |
| Provider Name | Joy Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912128547 PECOS PAC ID: 5092800607 Enrollment ID: I20070927000402 |
| Provider Name | Terry E Raposa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174601744 PECOS PAC ID: 6002943958 Enrollment ID: I20101208001314 |
| Provider Name | Sabina Sampath |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568808475 PECOS PAC ID: 4183864994 Enrollment ID: I20130627000722 |
| Provider Name | Curtis Blaine Fowler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952597338 PECOS PAC ID: 0042434607 Enrollment ID: I20140623000506 |
| Provider Name | Jayferson Micquel a Golepang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891136933 PECOS PAC ID: 3375849862 Enrollment ID: I20160725002271 |
| Provider Name | Johanna N Kay |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740476118 PECOS PAC ID: 0244528461 Enrollment ID: I20161004000865 |
| Provider Name | Lara Barhoum Demaio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467906610 PECOS PAC ID: 0749510550 Enrollment ID: I20190920002178 |
| Provider Name | Rozina Bavarsade Omidi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558952804 PECOS PAC ID: 0941615223 Enrollment ID: I20210218002115 |
| Provider Name | Liz Hernandez Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316237068 PECOS PAC ID: 5698095024 Enrollment ID: I20210304001330 |
| Provider Name | Cambria Dawn Mason |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245993245 PECOS PAC ID: 0244621019 Enrollment ID: I20220105001841 |
| Provider Name | Arthur I Mash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669835930 PECOS PAC ID: 9234476649 Enrollment ID: I20221229001795 |
| Provider Name | Annika Elizabeth Dethlefs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013627165 PECOS PAC ID: 4082085261 Enrollment ID: I20230126000791 |
| Provider Name | Jade Hennings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114334745 PECOS PAC ID: 4385861731 Enrollment ID: I20240328002962 |
| Provider Name | Kamal Preet Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285498964 PECOS PAC ID: 6800236274 Enrollment ID: I20240502000526 |
| Provider Name | Terra Schmid |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265890255 PECOS PAC ID: 8325480486 Enrollment ID: I20240521004354 |
| Provider Name | Sean-mikael Dodenhoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508430125 PECOS PAC ID: 8022412717 Enrollment ID: I20240718004296 |
| Provider Name | Savannah Schaffer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699507863 PECOS PAC ID: 3577093475 Enrollment ID: I20250207000001 |
| Provider Name | Leesa Avery Bingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043017874 PECOS PAC ID: 0648796409 Enrollment ID: I20250424003171 |
| Provider Name | Christopher Fernandes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1881359990 PECOS PAC ID: 0244733624 Enrollment ID: I20250911003087 |
| Provider Name | Lauren Shaw |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720888316 PECOS PAC ID: 7012409147 Enrollment ID: I20251125003131 |
| Provider Name | Timothy William Walrod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194688739 PECOS PAC ID: 2860979192 Enrollment ID: I20260116003131 |
| Provider Name | Daniel Borisov |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265395230 PECOS PAC ID: 1153803630 Enrollment ID: I20260304001710 |
| Provider Name | Rodel P Maulit |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861016289 PECOS PAC ID: 0547732430 Enrollment ID: I20260611001392 |
UC Davis Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 271 Turn Pike Dr, Folsom, CA 95630 Phone: 916-985-9350 |
Folsom Lake Primary Care PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2575 E Bidwell St Ste 210, Folsom, CA 95630 Phone: 916-984-7850 |
Thrive Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2390 E Bidwell St Ste 300, Folsom, CA 95630 Phone: 916-316-6469 |
Roy a Greenberg MD a PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Creekside Dr, Suite 2100, Folsom, CA 95630 Phone: 916-983-2663 Fax: 916-983-0602 |
UC Davis Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 Turn Pike Dr, Folsom, CA 95630 Phone: 916-985-9300 |
UC Davis Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1370 Prairie City Rd, Folsom, CA 95630 Phone: 916-985-9320 |