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GUSTAVO A. ROSALES MD INC. NPI 1538332234


NPI Information

NPI: 1538332234
Provider Name: GUSTAVO A. ROSALES, MD, INC.

Doing Business As: ROSALES MEDICAL GROUP

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
7275 E SOUTHGATE DR
SUITE 102
SACRAMENTO, CA
ZIP 95823
Phone: (916) 428-0656
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GUSTAVO A. ROSALES, MD, INC. is a general practice in Sacramento, CA. GUSTAVO A. ROSALES, MD, INC. NPI is 1538332234. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Rosales Medical Group.

The provider's business location address is:

7275 E SOUTHGATE DR
SUITE 102
SACRAMENTO, CA
ZIP 95823-628
Phone: (916) 428-0656
Fax: (916) 428-3763

The provider's authorized official is Gustavo A Rosales .
The authorized official title is Owner and has the following contact phone number (916) 428-0656.

The enumeration date for this NPI number is 4/2/2008 and was last updated on 3/31/2009.


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
1208D00000XGeneral PracticeA414750CALIFORNIAYes

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
100A414750MEDICAIDCALIFORNIA
2A29390MEDICARE UPINCALIFORNIA
300A414750MEDICARE PINCALIFORNIA

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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