NPIMap

Organization Active NPI

Transitions Buprenorphine Clinic of Sacramento

  • Clinic/Center
  • Sacramento, CA
National Provider Identifier
1639615628
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TRANSITIONS BUPRENORPHINE CLINIC OF SACRAMENTO
Practice address
3647 40TH St
Sacramento, CA 95817-3609
Phone
(916) 452-1068
NPI assigned
Jan 13, 2017
Last updated
Sep 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Authorized official

Name
Neil FlynnNPI 1154301935
Title
Owner
Phone
(916) 452-1068

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3647 40TH St
Sacramento, CA 95817-3609

Mailing address

3647 40TH St
Sacramento, CA 95817-3609
Phone (916) 452-1068

National Provider Directory

National Provider Directory

Locations

3647 40th St
Sacramento, CA 95817
Phone (916) 452-1068

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1639615628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3647 40TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958173609",
            "telephone_number": "916-452-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3647 40TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958173609",
            "telephone_number": "916-452-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONS BUPRENORPHINE CLINIC OF SACRAMENTO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-13",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-452-1068"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 Sep 4, 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.