Sacramento Family Medical Clinic Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SACRAMENTO FAMILY MEDICAL CLINIC INC.

Practice address

700 Sunrise Ave
Suite N
Roseville, CA 95661-4561

Phone

(916) 782-6700

Fax

(916) 563-7229

NPI assigned

Dec 14, 2006

Last updated

Jan 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gilbert Simon, M.D.

Title

Owner

Phone

(916) 563-7230

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1184786345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 MARYSVILLE BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958384512",
            "telephone_number": "916-563-7230",
            "fax_number": "916-563-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SUNRISE AVE",
            "address_2": "SUITE N",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614561",
            "telephone_number": "916-782-6700",
            "fax_number": "916-563-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRAMENTO FAMILY MEDICAL CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-563-7230",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tara Sadeghi
• Stephanie Sadhu

• Family Medicine Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.