SAC CITY MD NPI 1679180939

NPI Information

  • NPI: 1679180939
  • Provider Name: SAC CITY MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 05D2207095
  • Address: 8120 TIMBERLAKE WAY STE 108
    SACRAMENTO, CA
    ZIP 95823
  • Phone: (916) 252-5000

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NPI Details

SAC CITY MD 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. SAC CITY MD NPI is 1679180939. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8120 TIMBERLAKE WAY STE 108
SACRAMENTO, CA
ZIP 95823-413
Phone: (916) 252-5000
Fax: (916) 245-3252

The provider's authorized official is Malathi Shanmugam .
The authorized official title is President and has the following contact phone number (916) 252-5000.

The CLIA number assigned to this NPI record is 05D2207095 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/29/2020 and was last updated on 4/6/2021.

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 MedicineYes

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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