NUTRITION BASED INTEGRATIVE MEDICINE NPI 1760738413

NPI Information

  • NPI: 1760738413
  • Provider Name: NUTRITION BASED INTEGRATIVE MEDICINE
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Organization
  • Address: 758 UNIVERSITY AVE
    SACRAMENTO, CA
    ZIP 95825
  • Phone: (916) 564-3300

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NPI Details

NUTRITION BASED INTEGRATIVE MEDICINE is an adult medicine family medicine in Sacramento, CA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. NUTRITION BASED INTEGRATIVE MEDICINE NPI is 1760738413. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

758 UNIVERSITY AVE
SACRAMENTO, CA
ZIP 95825-703
Phone: (916) 564-3300
Fax: (916) 927-1831

The provider's authorized official is Wayne Daniel .
The authorized official title is Owner and has the following contact phone number (916) 564-3300.

The enumeration date for this NPI number is 7/31/2012 and was last updated on 7/31/2012.

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
1207QS0010XFamily MedicineSports Medicine20A10508CALIFORNIANo
2207QA0505XFamily MedicineAdult Medicine20A10508CALIFORNIAYes

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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