Active NPI
Family Medicine and Ambulatory Care
Doing business as Family Medicine and Ambulatory Care Center, Inc.
- Family Medicine Physician
- Fair Oaks, CA
National Provider Identifier
1023638814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FAMILY MEDICINE AND AMBULATORY CARE
- Doing business as
- Family Medicine and Ambulatory Care Center, Inc.
- Practice address
- 6600 Mercy CT Ste 100
Fair Oaks, CA 95628-3154 - Phone
- (916) 967-7285
- NPI assigned
- Apr 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Oneill
- Title
- Director of Billing
- Phone
- (530) 677-1112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
6600 Mercy CT Ste 100
Fair Oaks, CA 95628-3154
Mailing address
PO Box 4345
El Dorado Hills, CA 95762-0017
Phone (530) 677-1112
Other names 1
- Family Medicine and Ambulatory Care Center, Inc.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2158784 | Family Medicine & Ambulatory Care | Certificate of waiver | Dec 5, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Folsom, CA
- NPI 1619078904
-
- Family Medicine Physician
- Gold River, CA
- NPI 1255968939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587513600000",
"number": "1023638814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4345",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957620017",
"telephone_number": "530-677-1112",
"fax_number": "530-677-1190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 MERCY CT STE 100",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956283154",
"telephone_number": "916-967-7285"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY MEDICINE AND AMBULATORY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-21",
"last_updated": "2020-04-22",
"certification_date": "2020-04-22",
"status": "A",
"authorized_official_last_name": "ONEILL",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "DIRECTOR OF BILLING",
"authorized_official_telephone_number": "530-677-1112"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Medicine and Ambulatory Care Center, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fair Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.