EASTERN MEDICAL CENTER NPI 1215020508

NPI Information

  • NPI: 1215020508
  • Provider Name: EASTERN MEDICAL CENTER
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Other Name: EASTERN MEDICAL CENTER, PROFESSIONAL CO.
  • CLIA Number: 05D1046305
  • Address: 2930 EASTERN AVE
    SACRAMENTO, CA
    ZIP 95821
  • Phone: (916) 972-8966

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NPI Details

EASTERN MEDICAL CENTER 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. EASTERN MEDICAL CENTER NPI is 1215020508. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Eastern Medical Center, Professional Co..

The provider's business location address is:

2930 EASTERN AVE
SACRAMENTO, CA
ZIP 95821-210
Phone: (916) 972-8966
Fax: (916) 972-8916

The provider's authorized official is Dawei Zheng .
The authorized official title is Director and has the following contact phone number (916) 972-8966.

The CLIA number assigned to this NPI record is 05D1046305 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/1/2006 and was last updated on 11/10/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineA65618CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G98271MEDICARE UPIN
200A656181MEDICARE PINCALIFORNIA
300A737490MEDICARE PIN
400A656180MEDICARE PIN
5I29515MEDICARE UPIN
6ZZZ04319ZOTHERCALIFORNIAMEDICARE GROUP #
700A737491MEDICARE 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: 11/21/2025

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