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CAPITOL FAMILY MEDICAL ASSOCIATES INC NPI 1164858510


NPI Information

NPI: 1164858510
Provider Name: CAPITOL FAMILY MEDICAL ASSOCIATES, INC

Doing Business As: CAPITOL FAMILY MEDICAL ASSOCIATES

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D2074189

Address:
4617 FREEPORT BLVD STE F
SACRAMENTO, CA
ZIP 95822
Phone: (916) 431-7384
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CAPITOL FAMILY MEDICAL ASSOCIATES, INC is a family medicine in Sacramento, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CAPITOL FAMILY MEDICAL ASSOCIATES, INC NPI is 1164858510. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Capitol Family Medical Associates.

The provider's business location address is:

4617 FREEPORT BLVD STE F
SACRAMENTO, CA
ZIP 95822-015
Phone: (916) 431-7384
Fax: (916) 244-9653

The provider's authorized official is James Q Delgadillo .
The authorized official title is Physician and has the following contact phone number (916) 431-7384.

The CLIA number assigned to this NPI record is 05D2074189 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/17/2013 and was last updated on 10/13/2022.


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
1207Q00000XFamily MedicineA56390CALIFORNIAYes

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
11902842354MEDICAIDCALIFORNIA

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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