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VASCULAR INSTITUTE OF NORTHERN CALIFORNIA A PODIATRY CORPORATION NPI 1932691797


NPI Information

NPI: 1932691797
Provider Name: VASCULAR INSTITUTE OF NORTHERN CALIFORNIA, A PODIATRY CORPORATION
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 05D2171321

Address:
500 UNIVERSITY AVE STE 250
SACRAMENTO, CA
ZIP 95825
Phone: (916) 235-9100
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VASCULAR INSTITUTE OF NORTHERN CALIFORNIA, A PODIATRY CORPORATION is a multi-specialty clinic center in Sacramento, CA. VASCULAR INSTITUTE OF NORTHERN CALIFORNIA, A PODIATRY CORPORATION NPI is 1932691797. The provider is registered as an organization entity type.

The provider's business location address is:

500 UNIVERSITY AVE STE 250
SACRAMENTO, CA
ZIP 95825-525
Phone: (916) 235-9100
Fax: (916) 680-9550

The provider's authorized official is Tracy L Basso .
The authorized official title is Owner and has the following contact phone number (916) 235-9100.

The CLIA number assigned to this NPI record is 05D2171321 - other - office based vascular with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/6/2018 and was last updated on 2/13/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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