NPIMap

Organization Active NPI

County Medical Services Program Governing Board

  • Public Health & General Preventive Medicine Physician
  • Sacramento, CA
National Provider Identifier
1043426257
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
COUNTY MEDICAL SERVICES PROGRAM GOVERNING BOARD
Practice address
1451 River Park Dr
Suite 222
Sacramento, CA 95815-4507
Phone
(916) 649-2631
Fax
(916) 649-2606
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Lee D. Kemper
Title
Administrative Officer
Phone
(916) 649-2631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X Primary

Addresses

Primary practice location

1451 River Park Dr
Suite 222
Sacramento, CA 95815-4507

Mailing address

1451 River Park Dr
Suite 222
Sacramento, CA 95815-4507
Phone (916) 649-2631

Other names 1

  • CMSP Governing Board Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CMSP Governing Board2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043426257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 RIVER PARK DR",
            "address_2": "SUITE 222",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154507",
            "telephone_number": "916-649-2631",
            "fax_number": "916-649-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 RIVER PARK DR",
            "address_2": "SUITE 222",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154507",
            "telephone_number": "916-649-2631",
            "fax_number": "916-649-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY MEDICAL SERVICES PROGRAM GOVERNING BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEMPER",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "916-649-2631",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMSP Governing Board",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.