Sacramento Family Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

132640 Issued in CA

Legal business name

SACRAMENTO FAMILY MEDICAL CLINIC

Practice address

4241 Florin Rd
Suite 30
Sacramento, CA 95823-2535

Phone

(916) 427-1227

Fax

(916) 427-6325

NPI assigned

Aug 25, 2006

Last updated

May 14, 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

Gilbert Simon, MD

Title

Owner

Phone

(916) 563-7230

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hmong New Life Health Center Other name

Tax ID family

Sacramento Family Medical Clinic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Sacramento Family Medical Center

  • Family Medicine Physician
  • Fair Oaks, CA
  • NPI 1629346242
  NPD tax ID
• Sacramento Family Medical Clinic

  • Family Medicine Physician
  • Sacramento, CA
  • NPI 1740580489
  NPD tax ID
• Sacramento Family Medical Clinic

  • General Practice Physician
  • Elk Grove, CA
  • NPI 1962647529
  NPD tax ID

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1508974031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 MARYSVILLE BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958384512",
            "telephone_number": "916-563-7230",
            "fax_number": "916-563-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 FLORIN RD",
            "address_2": "SUITE 30",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232535",
            "telephone_number": "916-427-1227",
            "fax_number": "916-427-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRAMENTO FAMILY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-563-7230",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "132640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0053757",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hmong New Life Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sacramento Ear Nose & Throat Surgical & Medical Group Inc (Sacramento Ear, Nose, & Throat)
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• Sacramento Family Acupuncture, Inc
• Sacramento Family Home Health Inc (Sacramento Family Home Health)
• Sacramento Family Medical Clinic
• Sacramento Family Primary Care Clinic
• Sacramento Foot and Ankle Center, Inc.
• Sacramento Gastroenterology Medical Group, Inc.
• Sacramento GC Assisted Living, LLC (Greenhaven Estates)

• 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 14, 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.