| Sierra Vista Hospital | |
|
8250 Calvine Rd Ste C165 Sacramento CA 95828 | |
| (916) 452-6682 | |
| Not Available |
| Full Name | Sierra Vista Hospital |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 8250 Calvine Rd, Sacramento, California |
| Authorized Official Name and Position | Ananth Shanmugam (PHYSICIAN) |
| Authorized Official Contact | 9164526682 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Vista Hospital 3108 Fulton Ave Ste 2 Sacramento CA 95821 Ph: (916) 452-6682 | Sierra Vista Hospital 8250 Calvine Rd Ste C165 Sacramento CA 95828 Ph: (916) 452-6682 |
| NPI Number | 1548325004 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548325004 | NPI | - | NPPES |
| 00A905790 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A905790 (California) | Primary |
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