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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 1962848374 | 05 | |
CA | 1124313093 | 05 | |
CA | 1689712317 | 05 |
Other Name | Type Code |
---|---|
Elk Grove Clinical Research | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
7807 Laguna Blvd Ste 480, Elk Grove, CA 957587953 | (916) 513-7027 | 9168952184 |
Street Address |
930 ALHAMBRA BLVD STE 230 |
City | SACRAMENTO |
State | CA |
Zip Code | 95816-4433 |
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 |
Find all providers in zip 95816 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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1821239237 | Universal Medical Clinic, LLP | Clinic/Center | 7275 E Southgate Dr Ste 102, Sacramento, CA 95823-2610 | 2009-03-13 |
1619062973 | Bayard W. Chang, Md, Inc | Clinic/Center | 500 University Ave Ste 111, Sacramento, CA 95825-6504 | 2006-10-04 |
1427417559 | Timberlake Family Practice A Medical Corporation | Clinic/Center | 8120 Timberlake Way, #207, Sacramento, CA 95823-5412 | 2016-02-17 |
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 |
1306008222 | Catholic Healthcare West Medical Foundation- Norwood Clinic | Clinic/Center | 3911 Norwood Ave, Sacramento, CA 95838-3361 | 2008-07-01 |
Find all providers in SACRAMENTO |
City | SACRAMENTO |
Zip Code | 95816 |
Please comment or provide details below to improve the information on CREATIVE CLINICAL RESEARCH, INC..
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.