Blossom Ridge Medical, Inc.
NPI 1679117972 · Community Health Clinic/Center · Sacramento, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blossom Ridge Medical, Inc. is a Community Health Clinic/Center organization in Sacramento, CA (NPI 1679117972).
Provider details
- NPI number
- 1679117972
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gerald Agustin, Ceo(800) 991-6147
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Registry dates
- Enumerated
- 2019-10-30
- Last updated
- 2026-03-23
- Certified
- 2026-03-23
Frequently asked questions
- What is Blossom Ridge Medical, Inc.'s NPI number?
- Blossom Ridge Medical, Inc.'s National Provider Identifier (NPI) is 1679117972, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blossom Ridge Medical, Inc.?
- Blossom Ridge Medical, Inc. is classified in the NPPES registry as Community Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Blossom Ridge Medical, Inc. located?
- Blossom Ridge Medical, Inc.'s practice location on file with NPPES is 2554 Millcreek Dr, Sacramento, CA 95833-3678.
- What is Blossom Ridge Medical, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Blossom Ridge Medical, Inc. is (800) 991-6147.
- Does Blossom Ridge Medical, Inc. accept Medicare?
- Blossom Ridge Medical, Inc. 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 Blossom Ridge Medical, Inc.?
- The authorized official listed on Blossom Ridge Medical, Inc.'s NPPES record is Gerald Agustin, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blossom Ridge Medical, Inc.'s NPI active?
- Yes — Blossom Ridge Medical, Inc.'s NPI (1679117972) is active in the NPPES registry as of the last update on 2026-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.