POCKET PEDIATRIC MEDICAL GROUP INC NPI 1235551037

NPI Information

NPI: 1235551037
Provider Name: POCKET PEDIATRIC MEDICAL GROUP, INC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
1355 FLORIN RD STE 10
SACRAMENTO, CA
ZIP 95822
Phone: (916) 422-7273
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POCKET PEDIATRIC MEDICAL GROUP, INC is a pediatrics nurse practitioner in Sacramento, CA. POCKET PEDIATRIC MEDICAL GROUP, INC NPI is 1235551037. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1355 FLORIN RD STE 10
SACRAMENTO, CA
ZIP 95822-200
Phone: (916) 422-7273
Fax: (916) 422-2127

The provider's authorized official is Mey Thi Dominguez .
The authorized official title is Manager and has the following contact phone number (916) 422-7273.

The enumeration date for this NPI number is 1/13/2014 and was last updated on 1/13/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	225933	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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