Orangevale Family Medical Clinic, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A5262 Issued in CA

Legal business name

ORANGEVALE FAMILY MEDICAL CLINIC, INC.

Practice address

8864 Greenback LN
Suite B
Orangevale, CA 95662-4050

Phone

(916) 988-2900

Fax

(916) 988-2990

NPI assigned

Feb 18, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Christine Wilson, PA-CNPI 1336234277

Title

President Office Manager

Phone

(916) 988-2900

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine Wilson, P.A.-C.

  • Physician Assistant
  • Salem, OR
  • NPI 1336234277
  NPD (past) Authorized official
• Reed H Vuong, D.O.

  • Family Medicine Physician
  • El Dorado Hills, CA
  • NPI 1295715126
  NPD (past)

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

{
    "created_epoch": "1140220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1285609792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8864 GREENBACK LN",
            "address_2": "SUITE B",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956624050",
            "telephone_number": "916-988-2900",
            "fax_number": "916-988-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8864 GREENBACK LN",
            "address_2": "SUITE B",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956624050",
            "telephone_number": "916-988-2900",
            "fax_number": "916-988-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGEVALE FAMILY MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-18",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRESIDENT OFFICE MANAGER",
        "authorized_official_telephone_number": "916-988-2900",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trang Thi Hoang Nguyen, PHARMD
• Sefora Niculai
• North Cal Nutrition
• Steven O'Donnell, PT
• Oaktree Senior Health Management, Inc.
• Orangevale Senior Living
• Sidney Larynn Orr
• Maria Ortega
• Shahed Osman
• David A Padilla, M.D.

• Family Medicine Physician in Orangevale, CA
• Providers in Orangevale, 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 Feb 25, 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.