GREATER SACRAMENTO PEDIATRICS ASSOCIATION INC NPI 1538209663

NPI Information

  • NPI: 1538209663
  • Provider Name: GREATER SACRAMENTO PEDIATRICS ASSOCIATION INC
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • CLIA Number: 05D0707524
  • Address: 1561 CREEKSIDE DR
    SUITE 140
    FOLSOM, CA
    ZIP 95630
  • Phone: (916) 983-8595

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NPI Details

GREATER SACRAMENTO PEDIATRICS ASSOCIATION INC is a health service clinic center in Folsom, CA. GREATER SACRAMENTO PEDIATRICS ASSOCIATION INC NPI is 1538209663. The provider is registered as an organization entity type.

The provider's business location address is:

1561 CREEKSIDE DR
SUITE 140
FOLSOM, CA
ZIP 95630-492
Phone: (916) 983-8595
Fax: (916) 965-9384

The provider's authorized official is Mehdi Arab .
The authorized official title is President and has the following contact phone number (916) 965-4612.

The CLIA number assigned to this NPI record is 05D0707524 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 4/20/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth ServiceYes

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
1=========OTHERCALIFORNIATAX ID NUMBER

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: 3/30/2025

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