| West Sacramentopediatric Medical Group,inc | |
|
1050 Jefferson Blvd West Sacramento CA 95691-3304 | |
| (916) 371-3787 | |
| (916) 371-3790 |
| Full Name | West Sacramentopediatric Medical Group,inc |
|---|---|
| Speciality | Clinic/center |
| Location | 1050 Jefferson Blvd, West Sacramento, California |
| Authorized Official Name and Position | Judith J Tarrant (PROVIDER, CO-OWNER) |
| Authorized Official Contact | 9163713787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Sacramentopediatric Medical Group,inc 1050 Jefferson Blvd West Sacramento CA 95691-3304 Ph: (916) 371-3787 | West Sacramentopediatric Medical Group,inc 1050 Jefferson Blvd West Sacramento CA 95691-3304 Ph: (916) 371-3787 |
| NPI Number | 1215009212 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 09/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215009212 | NPI | - | NPPES |
| GR0101570 | Other | CA | GROUP NUMBER FOR CHDP |
| 1841836 | Other | CA | PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 208000000X (California) | Primary |
Salud Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Jefferson Blvd Ste B180, West Sacramento, CA 95605 Phone: 916-403-2900 | |
Communicare Ole Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3680 Industrial Blvd Ste 100, West Sacramento, CA 95691 Phone: 916-228-3378 | |
Salud Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Jefferson Blvd Ste B180, West Sacramento, CA 95605 Phone: 916-403-2900 | |
Live Well Medical Center Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 515 Michigan Blvd, West Sacramento, CA 95691 Phone: 916-368-0816 | |
Wellspace Health West Capitol Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2727 W Capitol Ave, West Sacramento, CA 95691 Phone: 916-371-2275 Fax: 916-371-8649 | |
Sacramento Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2727 W Capitol Ave, West Sacramento, CA 95691 Phone: 916-371-2275 Fax: 916-371-8649 |