Organization Active NPI

Pace Extended Care Inc.

  • Geriatric Medicine (Family Medicine) Physician
  • Sacramento, CA
National Provider Identifier
1316380652
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
A107500 Issued in CA
Legal business name
PACE EXTENDED CARE INC.
Practice address
5255 Hemlock St
Sacramento, CA 95841-3017
Phone
(916) 745-2381
NPI assigned
Apr 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Authorized official

Name
Syed A Zaidi
Title
Director.
Phone
(916) 745-2381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X A107500 CA Primary

Addresses

Primary practice location

5255 Hemlock St
Sacramento, CA 95841-3017

Mailing address

PO Box 2074
Granite Bay, CA 95746
Phone (916) 745-2381

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1316380652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2074",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "95746",
            "telephone_number": "916-745-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 HEMLOCK ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958413017",
            "telephone_number": "916-745-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE EXTENDED CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "ZAIDI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR.",
        "authorized_official_telephone_number": "916-745-2381"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A107500",
            "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 Jun 7, 2013; 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.