Pacific MD Housecalls

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A062689 Issued in CA

Legal business name

PACIFIC MD HOUSECALLS

Practice address

2804 Gateway Oaks Dr
Suite 200
Sacramento, CA 95833-4345

Phone

(619) 888-7733

NPI assigned

May 9, 2013

Last updated

May 9, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Momo Kurosaka, M.D.

Title

Medical Director

Phone

(619) 888-7733

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1386089878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 667",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920740667",
            "telephone_number": "619-888-7733",
            "fax_number": "858-225-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 GATEWAY OAKS DR",
            "address_2": "SUITE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958334345",
            "telephone_number": "619-888-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC MD HOUSECALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "KUROSAKA",
        "authorized_official_first_name": "MOMO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "619-888-7733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A062689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Clinics
• Pacific Clinics
• Pacific Dental Center Inc
• Pacific Harbor Treatment, Inc.
• Pacific Heartwood Wellness PC
• Pacific Medical, Inc. (Pacific Medical Prosthetics & Orthotics)
• Pacific Medical, Inc.
• Pacific Sacramento Surgery Center, LLC
• Pacific Skin Institute
• Pacific Sunrai LLC

• Family Medicine Physician in Sacramento, CA
• Providers in Sacramento, 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 May 9, 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.