Capital City Housecalls, Inc | |
1104 Corporate Way Sacramento CA 95831-3875 | |
(916) 520-4466 | |
(877) 585-0065 |
Full Name | Capital City Housecalls, Inc |
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Speciality | Family Medicine |
Location | 1104 Corporate Way, Sacramento, California |
Authorized Official Name and Position | Joseph M Nguyen (PRESIDENT) |
Authorized Official Contact | 9165050910 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Capital City Housecalls, Inc 1104 Corporate Way Sacramento CA 95831-3875 Ph: (916) 520-4466 | Capital City Housecalls, Inc 1104 Corporate Way Sacramento CA 95831-3875 Ph: (916) 520-4466 |
NPI Number | 1861835019 |
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Provider Enumeration Date | 04/08/2013 |
Last Update Date | 04/08/2013 |
Medicare PECOS PAC ID | 1456590132 |
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Medicare Enrollment ID | O20130611000309 |
Identifier | Type | State | Issuer |
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1861835019 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A8745 (California) | Primary |
Provider Name | Joseph M Nguyen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699796227 PECOS PAC ID: 9133016868 Enrollment ID: I20040227001048 |
Provider Name | Vanessa L Tsuda-nguyen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184729048 PECOS PAC ID: 5890762637 Enrollment ID: I20040913000413 |
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