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SACRAMENTO FAMILY MEDICAL CLINIC NPI 1740580489


NPI Information

NPI: 1740580489
Provider Name: SACRAMENTO FAMILY MEDICAL CLINIC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D0898074

Address:
7260 E SOUTHGATE DR
SUITE D-1
SACRAMENTO, CA
ZIP 95823
Phone: (916) 239-2180
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SACRAMENTO FAMILY MEDICAL CLINIC 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. SACRAMENTO FAMILY MEDICAL CLINIC NPI is 1740580489. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7260 E SOUTHGATE DR
SUITE D-1
SACRAMENTO, CA
ZIP 95823-609
Phone: (916) 239-2180
Fax: (916) 427-6325

The provider's authorized official is Dyann Wolfe .
The authorized official title is Administrator and has the following contact phone number (916) 563-7200.

The CLIA number assigned to this NPI record is 05D0898074 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/28/2010 and was last updated on 10/28/2010.


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
1207Q00000XFamily Medicine348199CALIFORNIAYes

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: 11/14/2023

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