NPIMap

Organization Active NPI

Mexican American Addiction Program, Inc.

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1346415510
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEXICAN AMERICAN ADDICTION PROGRAM, INC.
Practice address
4241 Florin Road
Suite 65
Sacramento, CA 95823
Phone
(916) 394-2323
Fax
(916) 394-2480
NPI assigned
Apr 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Authorized official

Name
Mr. Paul Cruz
Title
Executive Director
Phone
(916) 394-3481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4241 Florin Road
Suite 65
Sacramento, CA 95823

Mailing address

4241 Florin Road
Suite 65
Sacramento, CA 95823
Phone (916) 394-2323

National Provider Directory

National Provider Directory

Locations

7600 Hospital Dr
Ste 1
Sacramento, CA 95823
Phone (916) 422-5200

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1346415510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 FLORIN ROAD",
            "address_2": "SUITE 65",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95823",
            "telephone_number": "916-394-2323",
            "fax_number": "916-394-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 FLORIN ROAD",
            "address_2": "SUITE 65",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95823",
            "telephone_number": "916-394-2323",
            "fax_number": "916-394-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEXICAN AMERICAN ADDICTION PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-394-3481",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "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 Apr 8, 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.