1497822852 NPI number — SACRAMENTO BARIATRIC MEDICAL ASSOCIATES P C

Table of content: (NPI 1497822852)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497822852 NPI number — SACRAMENTO BARIATRIC MEDICAL ASSOCIATES P C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SACRAMENTO BARIATRIC MEDICAL ASSOCIATES P C
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:
1497822852
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/07/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5769 GREENBACK LN
Provider Second Line Business Mailing Address:
SUITE 1
Provider Business Mailing Address City Name:
SACRAMENTO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95841-2013
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
916-338-7200
Provider Business Mailing Address Fax Number:
916-338-7204

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5769 GREENBACK LN
Provider Second Line Business Practice Location Address:
SUITE 1
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95841-2013
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-338-7200
Provider Business Practice Location Address Fax Number:
916-338-7204
Provider Enumeration Date:
11/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MACHADO
Authorized Official First Name:
LAURA
Authorized Official Middle Name:
LEE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
916-965-2401

Provider Taxonomy Codes

  • Taxonomy code: 208600000X , with the licence number:  A62422 , 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)

  • Identifier: NP10336 . This is a "NP LICENSE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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