Organization Active NPI

Elk Grove Family Physicians Medical Group Inc

  • Family Medicine Physician
  • Elk Grove, CA
National Provider Identifier
1962599118
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A068134 Issued in CA
Legal business name
ELK GROVE FAMILY PHYSICIANS MEDICAL GROUP INC
Practice address
9727 Elk Grove Florin Rd
Ste. 140
Elk Grove, CA 95624-2264
Phone
(916) 686-7373
Fax
(916) 686-7374
NPI assigned
Oct 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Authorized official

Name
Janet L Yu, MDNPI 1417972472
Title
Owner
Phone
(916) 686-7373

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A068134 CA Primary

Addresses

Primary practice location

9727 Elk Grove Florin Rd
Ste. 140
Elk Grove, CA 95624-2264

Mailing address

9727 Elk Grove Florin Rd
Ste. 140
Elk Grove, CA 95624-2264
Phone (916) 686-7373

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1962599118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9727 ELK GROVE FLORIN RD",
            "address_2": "STE. 140",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242264",
            "telephone_number": "916-686-7373",
            "fax_number": "916-686-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9727 ELK GROVE FLORIN RD",
            "address_2": "STE. 140",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242264",
            "telephone_number": "916-686-7373",
            "fax_number": "916-686-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK GROVE FAMILY PHYSICIANS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-686-7373",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A068134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.