| Regents/ucdpbg/imgastro | |
|
4860 Y St Sacramento CA 95817-2307 | |
| (916) 734-8046 | |
| (916) 734-2732 |
| Full Name | Regents/ucdpbg/imgastro |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 4860 Y St, Sacramento, California |
| Authorized Official Name and Position | Cheryl Sadro (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9167035009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regents/ucdpbg/imgastro 10850 White Rock Rd Rancho Cordova CA 95670-6044 Ph: (916) 734-9200 | Regents/ucdpbg/imgastro 4860 Y St Sacramento CA 95817-2307 Ph: (916) 734-8046 |
| NPI Number | 1043203102 |
|---|---|
| Provider Enumeration Date | 08/24/2005 |
| Last Update Date | 08/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043203102 | NPI | - | NPPES |
| CN4400 | Other | CA | RAILROAD MEDICARE PIN |
| CI4127 | Other | CA | RAILROAD MEDICARE PIN |
| GRW02104A | Medicaid | CA | |
| GNP000070 | Medicaid | CA | |
| CN4844 | Other | CA | RAILROAD MEDICARE PIN |
| GR0021047 | Medicaid | CA | |
| DA4168 | Other | CA | RAILROAD MEDICARE PIN |
| DE7275 | Other | CA | RAILROAD MEDICARE PIN |
| CR0028 | Other | CA | RAILROAD MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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