| California Medical Center Inc | |
|
6939 Sunrise Blvd Ste 106 Citrus Heights CA 95610-3153 | |
| (916) 587-8000 | |
| (916) 480-8400 |
| Full Name | California Medical Center Inc |
|---|---|
| Speciality | General Practice |
| Location | 6939 Sunrise Blvd Ste 106, Citrus Heights, California |
| Authorized Official Name and Position | Jeffrey Brooks (PRESIDENT) |
| Authorized Official Contact | 5309060767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| California Medical Center Inc 6939 Sunrise Blvd Ste 106 Citrus Heights CA 95610-3153 Ph: (916) 587-8000 | California Medical Center Inc 6939 Sunrise Blvd Ste 106 Citrus Heights CA 95610-3153 Ph: (916) 587-8000 |
| NPI Number | 1487427837 |
|---|---|
| Provider Enumeration Date | 11/06/2023 |
| Last Update Date | 01/14/2024 |
| Medicare PECOS PAC ID | 3971940164 |
|---|---|
| Medicare Enrollment ID | O20240323000217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487427837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jeffrey Lane Brooks |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1073541876 PECOS PAC ID: 6608770201 Enrollment ID: I20070118000182 |
| Provider Name | Christi Barnas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700297801 PECOS PAC ID: 0840589248 Enrollment ID: I20180109001358 |
| Provider Name | Mariya Sergeyevna Azarov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528636891 PECOS PAC ID: 8325434053 Enrollment ID: I20220406001464 |
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