Active NPI
Larry Darnell Braxton
- Clinical Medical Laboratory
- Sacramento, CA
National Provider Identifier
1295645893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Practice address
- 3650 Tallyho Dr Apt 30
Sacramento, CA 95826-5478 - Phone
- (916) 519-0564
- NPI assigned
- Sep 8, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | CA | Primary |
Addresses
Primary practice location
3650 Tallyho Dr Apt 30
Sacramento, CA 95826-5478
Mailing address
3650 Tallyho Dr Apt 30
Sacramento, CA 95826-5478
Phone (916) 519-0564
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1295645893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 TALLYHO DR APT 30",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958265478",
"telephone_number": "916-519-0564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 TALLYHO DR APT 30",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958265478",
"telephone_number": "916-519-0564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAXTON",
"first_name": "LARRY",
"middle_name": "DARNELL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-08",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": null,
"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 Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.