Organization Active NPI

Family Psychiatry Center Inc

  • Psychiatry Physician
  • Sacramento, CA
National Provider Identifier
1801267604
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A131310 Issued in CA
Legal business name
FAMILY PSYCHIATRY CENTER INC
Practice address
8009 Bruceville Rd Ste 102
Sacramento, CA 95823-2332
Phone
(916) 716-4148
NPI assigned
Oct 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Authorized official

Name
Alok Banga, MDNPI 1083807531
Title
Ceo
Phone
(916) 716-4148

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X A131310 CA Primary

Addresses

Primary practice location

8009 Bruceville Rd Ste 102
Sacramento, CA 95823-2332

Mailing address

10067 Wyatt Ranch Way
Sacramento, CA 95829-8003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191003002510 CA Part B Supplier - Clinic/Group Practice 3678804796 Receives reassigned benefits from 2 practitioners
Practice locations: Elk Grove, CA

National Provider Directory

National Provider Directory

Locations

9303 Laguna Springs Dr
Ste 110
Elk Grove, CA 95758
Phone (916) 513-7949

Practitioners & affiliated clinicians

Practitioners 4

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": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1801267604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10067 WYATT RANCH WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958298003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8009 BRUCEVILLE RD STE 102",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232332",
            "telephone_number": "916-716-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PSYCHIATRY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "BANGA",
        "authorized_official_first_name": "ALOK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-716-4148",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A131310",
            "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 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.