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PULMONARY MEDICINE ASSOCIATES MEDICAL GROUP INC NPI 1104178615


NPI Information

NPI: 1104178615
Provider Name: PULMONARY MEDICINE ASSOCIATES MEDICAL GROUP, INC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Organization

Specialization: Acute Care

Address:
77 CADILLAC DRIVE
SUITE 210
SACRAMENTO, CA
ZIP 95825
Phone: (916) 482-7623
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PULMONARY MEDICINE ASSOCIATES MEDICAL GROUP, INC is an acute care nurse practitioner in Sacramento, CA. PULMONARY MEDICINE ASSOCIATES MEDICAL GROUP, INC NPI is 1104178615. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

77 CADILLAC DRIVE
SUITE 210
SACRAMENTO, CA
ZIP 95825
Phone: (916) 482-7623
Fax: (916) 488-7432

The provider's authorized official is Stephanie Efstratis .
The authorized official title is Billing Manger and has the following contact phone number (916) 482-7623.

The enumeration date for this NPI number is 10/8/2012 and was last updated on 10/8/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2100XNurse PractitionerAcute Care22046CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11407880719OTHERCALIFORNIAPRACTICE NPI NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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