NPIMap

Organization Active NPI

Village Medical Center

  • Primary Care Clinic/Center
  • Carmichael, CA
National Provider Identifier
1467621656
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A89855 Issued in CA
Legal business name
VILLAGE MEDICAL CENTER
Practice address
6437 Fair Oaks Blvd
Carmichael, CA 95608-4021
Phone
(916) 344-8866
NPI assigned
Feb 21, 2008
Last updated
Feb 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Dr. Alireza Pessaran, M.D
Title
Owner/Physician
Phone
(916) 344-8866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A89855 CA Primary

Addresses

Primary practice location

6437 Fair Oaks Blvd
Carmichael, CA 95608-4021

Mailing address

6437 Fair Oaks Blvd
Carmichael, CA 95608-4021
Phone (916) 344-8866

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1467621656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6437 FAIR OAKS BLVD",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956084021",
            "telephone_number": "916-344-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6437 FAIR OAKS BLVD",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956084021",
            "telephone_number": "916-344-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "PESSARAN",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "916-344-8866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A89855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.