Elica Health Centers
NPI 1205341336 · Federally Qualified Health Center (FQHC) · West Sacramento, CA
Enrolled with Medicare as Mdpp Supplier - In-Person Mdpp Supplier · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elica Health Centers is a Federally Qualified Health Center (FQHC) organization in West Sacramento, CA (NPI 1205341336).
Provider details
- NPI number
- 1205341336
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Elica Health Centers
- Organization subpart
- Yes
- Authorized official
- Tatyana Bak, Ceo(916) 569-8484
Specialties & taxonomies
Ambulatory Health Care Facilities
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Elica Health Centers - Halyard Medical Center
Registry dates
- Enumerated
- 2017-12-12
- Last updated
- 2022-03-08
- Certified
- 2022-03-08
Frequently asked questions
- What is Elica Health Centers's NPI number?
- Elica Health Centers's National Provider Identifier (NPI) is 1205341336, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elica Health Centers?
- Elica Health Centers is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Elica Health Centers located?
- Elica Health Centers's practice location on file with NPPES is 1276 Halyard Dr, West Sacramento, CA 95691-3412.
- What is Elica Health Centers's phone number?
- The practice phone number listed in the NPPES registry for Elica Health Centers is (916) 454-2345.
- Does Elica Health Centers accept Medicare?
- Elica Health Centers is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Elica Health Centers?
- The authorized official listed on Elica Health Centers's NPPES record is Tatyana Bak, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elica Health Centers's NPI active?
- Yes — Elica Health Centers's NPI (1205341336) is active in the NPPES registry as of the last update on 2022-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.