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SACRAMENTO DERMATOLOGY MED GROUP INC NPI 1245308378


NPI Information

NPI: 1245308378
Provider Name: SACRAMENTO DERMATOLOGY MED GROUP INC
Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
5525 DEWEY DR
#102
FAIR OAKS, CA
ZIP 95628
Phone: (916) 966-9014
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SACRAMENTO DERMATOLOGY MED GROUP INC is a dermatology in Fair Oaks, CA. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. SACRAMENTO DERMATOLOGY MED GROUP INC NPI is 1245308378. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5525 DEWEY DR
#102
FAIR OAKS, CA
ZIP 95628-129
Phone: (916) 966-9014
Fax: (916) 966-9015

The provider's authorized official is Dennis Daughters .
The authorized official title is President and has the following contact phone number (916) 966-9014.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 8/8/2008.


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
1207N00000XDermatologyG22335CALIFORNIANo
2207N00000XDermatologyA24330CALIFORNIAYes

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
1A24330MEDICARE UPIN
2A41544MEDICARE UPIN
3ZZZ57516ZMEDICARE ID-TYPE UNSPECIFIED
4ZZZ59294ZMEDICARE ID-TYPE UNSPECIFIED

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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