Active NPI
Tyrone Lucas Adams, M.D.
- Obstetrics & Gynecology Physician
- Sacramento, CA
National Provider Identifier
1265637896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- C 40791
- Practice address
- 1501 Capitol Ave
Sacramento, CA 95814-5005 - Phone
- (916) 552-9584
- NPI assigned
- Jun 14, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C 40791 | CA | MD | Obstetrics & Gynecology Physician |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | C 40791 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1501 Capitol Ave
Sacramento, CA 95814-5005
Mailing address
PO Box 981044
West Sacramento, CA 95798-1044
Phone (916) 396-1656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265637896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 981044",
"city": "WEST SACRAMENTO",
"state": "CA",
"postal_code": "957981044",
"telephone_number": "916-396-1656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 CAPITOL AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958145005",
"telephone_number": "916-552-9584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "TYRONE",
"middle_name": "LUCAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "C 40791",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.