Active NPI
Laguna Medical Clinic
- Geriatric Medicine (Family Medicine) Physician
- Sacramento, CA
National Provider Identifier
1184847592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- A508260
- Legal business name
- LAGUNA MEDICAL CLINIC
- Practice address
- 8765 Center Pkwy
D300
Sacramento, CA 95823-7682 - Phone
- (916) 525-1181
- Fax
- (916) 525-1331
- NPI assigned
- Apr 11, 2007
- Last updated
- Aug 22, 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
- Naim S Katiby, MD
- Title
- President
- Phone
- (916) 525-1181
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | A508260 | CA | Primary |
Addresses
Primary practice location
8765 Center Pkwy
D300
Sacramento, CA 95823-7682
Mailing address
8765 Center Pkwy
D300
Sacramento, CA 95823-7682
Phone (916) 525-1181
National Provider Directory
National Provider DirectoryLocations
8765 Center Pkwy
Ste D300
Sacramento, CA 95823
Phone (916) 525-1181
Practitioners & 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.
-
- Family Medicine Physician
- San Leandro, CA
- NPI 1801999800
-
- Internal Medicine Physician
- Mather, CA
- NPI 1831161074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1184847592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8765 CENTER PKWY",
"address_2": "D300",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958237682",
"telephone_number": "916-525-1181",
"fax_number": "916-525-1331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8765 CENTER PKWY",
"address_2": "D300",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958237682",
"telephone_number": "916-525-1181",
"fax_number": "916-525-1331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAGUNA MEDICAL CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KATIBY",
"authorized_official_first_name": "NAIM",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "916-525-1181",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": "CA",
"license": "A508260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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.