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SACRAMENTO PEDIATRIC GASTROENTEROLOGYINC. NPI 1982958351


NPI Information

NPI: 1982958351
Provider Name: SACRAMENTO PEDIATRIC GASTROENTEROLOGY,INC.
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
5767 GREENBACK LN
SUITE 200
SACRAMENTO, CA
ZIP 95841
Phone: (916) 332-1244
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SACRAMENTO PEDIATRIC GASTROENTEROLOGY,INC. is a medical specialty clinic center in Sacramento, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). SACRAMENTO PEDIATRIC GASTROENTEROLOGY,INC. NPI is 1982958351. The provider is registered as an organization entity type.

The provider's business location address is:

5767 GREENBACK LN
SUITE 200
SACRAMENTO, CA
ZIP 95841-013
Phone: (916) 332-1244
Fax: (916) 760-4147

The provider's authorized official is Yinka Kari Davies .
The authorized official title is Pediatric Gastroenterologist and has the following contact phone number (916) 332-1244.

The enumeration date for this NPI number is 11/6/2012 and was last updated on 2/22/2013.


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
1261QM2500XClinic/CenterMedical SpecialtyA71235CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100A721350MEDICAIDCALIFORNIA
2H82911MEDICARE UPINCALIFORNIA

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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