Organization · Type 2 NPI

Premise Health of California Medical PC

Multi-Specialty Clinic/Center · Jackson, CA

NPI number 1619441128 Active

Practice location

12222 New York Ranch Rd
Jackson, CA 95642-9407

Call (209) 223-8428 Map

Fax (209) 223-8429

Mailing address

5500 Maryland Way Ste 200
Brentwood, TN 37027-4973

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

NPI record

NPI: 1619441128
Entity type: Organization (Type 2)
Issued: Jan 17, 2019
Last updated: Feb 12, 2026
Status: Active

Other names

<unavail>
Jackson Rancheria Medical Center · doing business as
Jackson Rancheria Medical Center · doing business as

Authorized official

Edward William Schwartz
President
(844) 407-7557

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1619441128

Premise Health of California Medical PC's National Provider Identifier is 1619441128, issued on Jan 17, 2019. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Jackson, CA. The record was last updated on Feb 12, 2026.