| 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 |
| 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 | Jayferson Micquel A Golepang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891136933 PECOS PAC ID: 3375849862 Enrollment ID: I20160725002271 |
| Provider Name | Christopher Adam Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265099030 PECOS PAC ID: 9335569714 Enrollment ID: I20201023002637 |
| Provider Name | Liz Hernandez Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316237068 PECOS PAC ID: 5698095024 Enrollment ID: I20210304001330 |
| Provider Name | Annika Elizabeth Dethlefs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013627165 PECOS PAC ID: 4082085261 Enrollment ID: I20230126000791 |
| Provider Name | Marisa Ronquillo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265940373 PECOS PAC ID: 9638545270 Enrollment ID: I20240116003918 |
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 | |
Mercy Imaging Centers, A Service Of Dignity Health Medical Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1625 Creekside Dr, Suite 101, Folsom, CA 95630 Phone: 916-984-1866 Fax: 916-983-3891 | |
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 | |
Moness Medical Office, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1611 Creekside Dr, Suite 102, Folsom, CA 95630 Phone: 916-984-9004 Fax: 916-984-9094 |