Sacramento Life Center

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

030000651 Issued in CA

Legal business name

SACRAMENTO LIFE CENTER

Practice address

2316 Bell Executive LN
Sacramento, CA 95825-4068

Phone

(916) 451-4357

Fax

(916) 447-4953

NPI assigned

Nov 3, 2010

Organization subpart

No

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

Authorized official

Name

Marie Leatherby

Title

Executive Director

Phone

(916) 451-4357

Specialties & licenses 1

Addresses

Other names 1

• Sacramento Life Center Inc Former legal business name

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

CLIA laboratory certificates

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174824437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 BELL EXECUTIVE LANE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254068",
            "telephone_number": "916-451-4357",
            "fax_number": "916-447-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 BELL EXECUTIVE LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254068",
            "telephone_number": "916-451-4357",
            "fax_number": "916-447-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRAMENTO LIFE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEATHERBY",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-451-4357"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "030000651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacramento Life Center Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Community Health Clinic/Center in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.