NATIVITY PEDIATRICS INC NPI 1770739989

NPI Information

  • NPI: 1770739989
  • Provider Name: NATIVITY PEDIATRICS, INC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 05D1082132
  • Address: 740 OAK AVENUE PKWY STE 145
    FOLSOM, CA
    ZIP 95630
  • Phone: (916) 817-6461

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NPI Details

NATIVITY PEDIATRICS, INC is a primary care clinic center in Folsom, CA. NATIVITY PEDIATRICS, INC NPI is 1770739989. The provider is registered as an organization entity type.

The provider's business location address is:

740 OAK AVENUE PKWY STE 145
FOLSOM, CA
ZIP 95630-815
Phone: (916) 817-6461
Fax: (916) 358-5297

The provider's authorized official is Eule Nagrampa Biyo .
The authorized official title is President and has the following contact phone number (916) 817-6461.

The CLIA number assigned to this NPI record is 05D1082132 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/7/2008 and was last updated on 8/7/2008.

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
1261QP2300XClinic/CenterPrimary Care0900010314CALIFORNIAYes

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
11851408090OTHERCALIFORNIAINDIVIDUAL NPI

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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