Organization Active NPI

Professional Medical Clinic for Women-Sacramento, Inc.

  • Obstetrics & Gynecology Physician
  • Sacramento, CA
National Provider Identifier
1962519868
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G37098 Issued in CA
Legal business name
PROFESSIONAL MEDICAL CLINIC FOR WOMEN-SACRAMENTO, INC.
Practice address
7237 E Southgate Dr
Suite C
Sacramento, CA 95823-2637
Phone
(916) 392-2290
Fax
(916) 392-3706
NPI assigned
Aug 24, 2006
Last updated
Feb 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Dr. Nathan H Allen, M.D.NPI 1598739161
Title
Owner/Physician
Phone
(916) 392-2290

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
Obstetrics & Gynecology Physician 207V00000X G37098 CA Primary

Addresses

Primary practice location

7237 E Southgate Dr
Suite C
Sacramento, CA 95823-2637

Mailing address

7237 E Southgate Dr
Suite C
Sacramento, CA 95823-2637
Phone (916) 392-2290

Other identifiers 1

IdentifierTypeStateIssuer
GR0005730MedicaidCA

National Provider Directory

National Provider Directory

Locations

4100 E Commerce Way
Ste 110
Sacramento, CA 95834
Phone (916) 365-3408

7237 E Southgate Dr
Ste C
Sacramento, CA 95823
Phone (916) 392-2290

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1962519868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7237 E SOUTHGATE DR",
            "address_2": "SUITE C",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232637",
            "telephone_number": "916-392-2290",
            "fax_number": "916-392-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7237 E SOUTHGATE DR",
            "address_2": "SUITE C",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232637",
            "telephone_number": "916-392-2290",
            "fax_number": "916-392-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MEDICAL CLINIC FOR WOMEN-SACRAMENTO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "916-392-2290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G37098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0005730",
            "state": "CA"
        }
    ],
    "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 Feb 14, 2008; 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.