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PEDIATRIC MEDICAL ASSOCIATES OF SACRAMENTO INC NPI 1760570600


NPI Information

NPI: 1760570600
Provider Name: PEDIATRIC MEDICAL ASSOCIATES OF SACRAMENTO INC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 05D1029434

Address:
650 HOWE AVENUE
SUITE 100
SACRAMENTO, CA
ZIP 95825
Phone: (916) 924-9337
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PEDIATRIC MEDICAL ASSOCIATES OF SACRAMENTO INC is a pediatrics in Sacramento, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PEDIATRIC MEDICAL ASSOCIATES OF SACRAMENTO INC NPI is 1760570600. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

650 HOWE AVENUE
SUITE 100
SACRAMENTO, CA
ZIP 95825-000
Phone: (916) 924-9337
Fax: (916) 924-8281

The provider's authorized official is Jennifer Suzanne Garcia .
The authorized official title is Credentialing Coordinator and has the following contact phone number (619) 866-8786.

The CLIA number assigned to this NPI record is 05D1029434 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 12/15/2022.


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
1208000000XPediatricsYes

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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