1063803203 NPI number — SACRAMENTO PEDIATRICS MEDICAL GROUP

Table of content: (NPI 1063803203)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063803203 NPI number — SACRAMENTO PEDIATRICS MEDICAL GROUP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SACRAMENTO PEDIATRICS MEDICAL GROUP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1063803203
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/10/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7237 E SOUTHGATE DR
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
SACRAMENTO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95823-2637
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
916-422-6635
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7501 HOSPITAL DR
Provider Second Line Business Practice Location Address:
SUITE 206
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95823-5405
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-682-7481
Provider Business Practice Location Address Fax Number:
916-422-6500
Provider Enumeration Date:
02/10/2015

Additional Information

Authorized Official

Authorized Official Last Name:
WALTON
Authorized Official First Name:
STEPHANIE
Authorized Official Middle Name:
ANNE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
916-422-6635

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  A34512 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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