Organization Active NPI

Sacramento Family Medical Clinic

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1740580489
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
348199 Issued in CA
Legal business name
SACRAMENTO FAMILY MEDICAL CLINIC
Practice address
7260 E Southgate Dr
Suite D-1
Sacramento, CA 95823-2609
Phone
(916) 239-2180
Fax
(916) 427-6325
NPI assigned
Oct 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Authorized official

Name
Dyann Wolfe
Title
Administrator
Phone
(916) 563-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 348199 CA Primary

Addresses

Primary practice location

7260 E Southgate Dr
Suite D-1
Sacramento, CA 95823-2609

Mailing address

3441 Marysville Blvd
Sacramento, CA 95838-4512
Phone (916) 563-7230

National Provider Directory

National Provider Directory
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.

Locations

7260 E Southgate Dr
Ste D1
Sacramento, CA 95823
Phone (916) 239-2180

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1740580489",
    "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": "7260 E SOUTHGATE DR",
            "address_2": "SUITE D-1",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232609",
            "telephone_number": "916-239-2180",
            "fax_number": "916-427-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRAMENTO FAMILY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "DYANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-563-7200"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "348199",
            "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 Oct 28, 2010; 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.