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WEST SAC MEDICAL GROUP INC NPI 1427413772


NPI Information

NPI: 1427413772
Provider Name: WEST SAC MEDICAL GROUP INC

Doing Business As: WEST SACRAMENTO URGENT CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 05D2230244

Address:
2455 JEFFERSON BLVD
SUITE 100
WEST SACRAMENTO, CA
ZIP 95691
Phone: (916) 617-2377
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WEST SAC MEDICAL GROUP INC is an urgent care clinic center in West Sacramento, CA. WEST SAC MEDICAL GROUP INC NPI is 1427413772. The provider is registered as an organization entity type.
The provider Is Doing Business As West Sacramento Urgent Care.

The provider's business location address is:

2455 JEFFERSON BLVD
SUITE 100
WEST SACRAMENTO, CA
ZIP 95691-313
Phone: (916) 617-2377
Fax: (916) 680-8065

The provider's authorized official is Ziad Ali .
The authorized official title is Owner and has the following contact phone number (916) 617-2377.

The CLIA number assigned to this NPI record is 05D2230244 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/30/2015 and was last updated on 1/10/2017.


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
1261QU0200XClinic/CenterUrgent CareYes

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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