SACRAMENTO FAMILY MEDICAL CLINIC (NPI# 1962647529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962647529 |
| Entity Type | Organization |
| Organization Name | SACRAMENTO FAMILY MEDICAL CLINIC |
| Practice Address |
9717 Elk Grove Florin Rd Ste A Elk Grove CA 95624-2262 |
| Practice Telephone | 9167147400 |
| Practice Fax Number | 9167147410 |
| Mailing Telephone | 9167147400 |
| Mailing Fax Number | 9167147410 |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2008-12-11 |
| Authorized Official Name | DR. GILBERT SIMON (OWNER) |
| Authorized Official Telephone | 9165637230 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 10-00008104 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740580489 | Sacramento Family Medical Clinic | Family Medicine | 7260 E Southgate Dr, Suite D-1, Sacramento, CA 95823-2609 | 2010-10-28 |
| 1508974031 | Sacramento Family Medical Clinic | Family Medicine | 4241 Florin Rd, Suite 30, Sacramento, CA 95823-2535 | 2006-08-25 |
| Street Address |
9717 ELK GROVE FLORIN RD STE A |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95624-2262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215003330 | Brandi Shareese Garner | Marriage & Family Therapist | 9717 Elk Grove Florin Rd Ste A, Elk Grove, CA 95624-2262 | 2006-11-28 |
| 1225642648 | Visualize Your Life Family Counseling & Wellness Center, Inc. | Marriage & Family Therapist | 9717 Elk Grove Florin Rd Ste A, Elk Grove, CA 95624-2262 | 2020-09-02 |
| 1568803153 | Allison Hass | Marriage & Family Therapist | 9717 Elk Grove Florin Rd Ste A, Elk Grove, CA 95624-2262 | 2013-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194363721 | Sanam Adela Baidar | Behavior Technician | 9170 Dino Dr, Ste 170, Elk Grove, CA 95624 | 2019-12-13 |
| 1134686041 | Hannah Marie Hamm | Behavior Technician | 9701 Dino Drive, Suite 170, Elk Grove, CA 95624 | 2019-02-27 |
| 1538624259 | Amnah Sattar | Assistant Behavior Analyst | 9701 Dino Dr, Elk Grove, CA 95624 | 2019-02-06 |
| 1740793470 | Sheena Maharaj | Marriage & Family Therapist | 9008 Elk Grove Blvd Ste 11, Elk Grove, CA 95624 | 2017-11-16 |
| 1598285595 | Jessica Russo | Behavior Technician | 8672 Cycladic Ct, Elk Grove, CA 95624 | 2017-06-21 |
| 1982137568 | Jamie Kofoed | Behavioral Analyst | 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624 | 2017-04-10 |
| 1154878742 | Dorian Elaine Buckner | Counselor | 9355 E. Stockton Blvd., Elk Grove, CA 95624 | 2016-09-01 |
| 1447635529 | David Johnson | Student in an Organized Health Care Education/Training Program | 9666 Kent St, Elk Grove, CA 95624 | 2015-07-30 |
| 1760862437 | Harpreet Singh | Student in an Organized Health Care Education/Training Program | 8617 Orison Ct, Elk Grove, CA 95624 | 2015-06-08 |
| 1942698253 | Noah Shapiro | Social Worker | 9140 Bradshaw Rd, Elf Grove, CA 95624 | 2015-01-08 |
| Find all providers in zip 95624 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 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.