Organization Active NPI

West Sacramento Primary Care Inc.

  • Primary Care Clinic/Center
  • West Sacramento, CA
National Provider Identifier
1467053272
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
WEST SACRAMENTO PRIMARY CARE INC.
Doing business as
West Sacramento Primary Care
Practice address
2455 Jefferson Blvd Ste 100
West Sacramento, CA 95691-5329
Phone
(916) 617-2377
NPI assigned
Nov 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Authorized official

Name
Dr. Ziad Ali, MDNPI 1730386871
Title
Owner
Phone
(209) 334-5719

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2455 Jefferson Blvd Ste 100
West Sacramento, CA 95691-5329

Mailing address

2455 Jefferson Blvd Ste 100
West Sacramento, CA 95691-5329

Other names 1

  • West Sacramento Primary Care Doing business as

National Provider Directory

National Provider Directory

Locations

2455 Jefferson Blvd
Ste 100A
West Sacramento, CA 95691

Practitioners & affiliated clinicians

Practitioners 1

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": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1467053272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 JEFFERSON BLVD STE 100",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956915329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 JEFFERSON BLVD STE 100",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956915329",
            "telephone_number": "916-617-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SACRAMENTO PRIMARY CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "ZIAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-334-5719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Sacramento Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.