CREATIVE CLINICAL RESEARCH, INC.


Address: 930 Alhambra Blvd Ste 230, Sacramento, CA 95816-4433
Phone: 9163854438

CREATIVE CLINICAL RESEARCH, INC. (NPI# 1710414933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710414933
Entity Type Organization
Organization Name CREATIVE CLINICAL RESEARCH, INC.
Other Organization Name ELK GROVE CLINICAL RESEARCH
Practice Address 930 Alhambra Blvd Ste 230
Sacramento
CA 95816-4433
Mailing Address 7807 Laguna Blvd Ste 480
Elk Grove
CA 95758-7953
Practice Telephone 9163854438
Mailing Telephone 9165137027
Mailing Fax Number 9168952184
Enumeration Date 2017-05-18
Last Update Date 2019-01-01
Authorized Official Name MR. KIRK JAY AUSTIN (CEO)
Authorized Official Telephone 9165137027
Authorized Official Credential PA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA 1962848374 05
CA 1124313093 05
CA 1689712317 05

Other Provider/Organization Names

Other Name Type Code
Elk Grove Clinical Research Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
7807 Laguna Blvd Ste 480, Elk Grove, CA 957587953 (916) 513-7027 9168952184

Office Location

Street Address 930 ALHAMBRA BLVD STE 230
City SACRAMENTO
State CA
Zip Code 95816-4433

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922618917 Alyssa Weakley Clinical Neuropsychologist Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 2020-08-04
1417418955 Soraya Foutouhi Student in an Organized Health Care Education/Training Program 301 C Street, Suite 1400, Sacramento, CA 95816 2019-03-27
1265902704 Daljit Girn Behavior Technician 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 2018-11-27
1609385178 Jared James Harold-husted Behavior Technician 3031 C St, Sacramento, Sacramento, CA 95816 2017-09-27
1124537170 Phuong Huynh Behavior Technician 3009 C Street, Sacramento, CA 95816 2017-09-21
1427570811 Manpreet Kaur Chehal Counselor 500 22nd Street, Sacramento, CA 95816 2017-07-07
1295264646 Veronica Lynn Just Behavior Technician 3031 C St., Sacramento, CA 95816 2017-06-08
1285163907 Marquise Jones Behavior Technician 3031 C Street, Sacramento, CA 95816 2017-06-06
1578007159 Kate Hanel Student in an Organized Health Care Education/Training Program 2500 I St, Sacramento, CA 95816 2016-12-15
1184174534 Jennifer M Stegner Nurse Practitioner 1625 Stockton Blvd #104, Sacramento, CA 95816 2016-10-10
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1619062973 Bayard W. Chang, Md, Inc Clinic/Center 500 University Ave Ste 111, Sacramento, CA 95825-6504 2006-10-04
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1467843961 Hoi Trinh Medical Corporation,inc Clinic/Center 6590 Stockton Blvd, Suite 100, Sacramento, CA 95823-1612 2015-02-05
1699184390 Hart Healht Care, Inc Clinic/Center 5340 Elvas Ave, Ste 100, Sacramento, CA 95819-2345 2014-08-06
1104128636 Stephen N Fisher Md A Medical Corporation Clinic/Center 1321 Howe Ave, Suite 225, Sacramento, CA 95825-3365 2010-12-04
1346485075 Kenan & Wang LLC Clinic/Center 331 J St, Sacramento, CA 95814-2211 2008-12-09
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Competitor

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City SACRAMENTO
Zip Code 95816

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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