Organization Active NPI

Universal Medical Clinic, LLP

  • Primary Care Clinic/Center
  • Sacramento, CA
National Provider Identifier
1821239237
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
UNIVERSAL MEDICAL CLINIC, LLP
Practice address
7275 E Southgate Dr Ste 102
Sacramento, CA 95823-2610
Phone
(916) 519-0757
NPI assigned
Mar 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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

Authorized official

Name
Dr. Kenny Muchahariyaj
Title
Owner, Corporation Partner
Phone
(916) 519-0757

Specialties & licenses 1

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

Addresses

Primary practice location

7275 E Southgate Dr Ste 102
Sacramento, CA 95823-2610

Mailing address

2330 Fruitridge Rd Ste 3
Sacramento, CA 95822-3156
Phone (916) 519-0757

National Provider Directory

National Provider Directory

Locations

2330 Fruitridge Rd
Ste 3
Sacramento, CA 95822

NPI Registry JSON

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1821239237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 FRUITRIDGE RD STE 3",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958223156",
            "telephone_number": "916-519-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7275 E SOUTHGATE DR STE 102",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232610",
            "telephone_number": "916-519-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL MEDICAL CLINIC, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "MUCHAHARIYAJ",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "OWNER, CORPORATION PARTNER",
        "authorized_official_telephone_number": "916-519-0757",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "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 Mar 13, 2009; 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.