Organization Active NPI

Capitol Family Medical Associates, Inc

Doing business as Capitol Family Medical Associates

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1164858510
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A56390 Issued in CA
Legal business name
CAPITOL FAMILY MEDICAL ASSOCIATES, INC
Doing business as
Capitol Family Medical Associates
Practice address
4617 Freeport Blvd Ste F
Sacramento, CA 95822-2015
Phone
(916) 431-7384
Fax
(916) 244-9653
NPI assigned
Sep 17, 2013
Last updated
Oct 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
James Q Delgadillo, MDNPI 1982099263
Title
Physician
Phone
(916) 431-7384

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A56390 CA Primary

Addresses

Primary practice location

4617 Freeport Blvd Ste F
Sacramento, CA 95822-2015

Mailing address

4617 Freeport Blvd Ste F
Sacramento, CA 95822-2015
Phone (916) 431-7384

Other identifiers 1

IdentifierTypeStateIssuer
1902842354MedicaidCA

Other names 2

  • Capitol Family Medical Associates Doing business as
  • Capital Family Medical Associates Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221123001589 CA Part B Supplier - Clinic/Group Practice 0345618377 Receives reassigned benefits from 3 practitioners
Practice locations: Sacramento, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2074189Capitol Family Medical Associates Inc4617 Freeport Blvd, Ste F, Sacramento, CA 95822Certificate of waiverMar 2, 2028

National Provider Directory

National Provider Directory

Locations

1355 Florin Rd
Ste 21
Sacramento, CA 95822
Phone (916) 392-1131

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1164858510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4617 FREEPORT BLVD STE F",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958222015",
            "telephone_number": "916-431-7384",
            "fax_number": "916-244-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4617 FREEPORT BLVD STE F",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958222015",
            "telephone_number": "916-431-7384",
            "fax_number": "916-244-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL FAMILY MEDICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "DELGADILLO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "916-431-7384",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A56390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902842354",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capitol Family Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Capital Family Medical Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.