Elk Grove Clinical Research

LBN: Creative Clinical Research, Inc.
Elk Grove Clinical Research is an health care organization with primary practice located at 930 Alhambra Blvd Ste 230 , Sacramento CA 95816-4433. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Creative Clinical Research, Inc. can be contacted via phone (916) 385-4438, or through Austin, Kirk Jay via phone (916) 513-7027.

Contact Information

Primary practice address
930 Alhambra Blvd Ste 230 Sacramento CA 95816-4433
Phone: (916) 385-4438
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Austin, Kirk Jay Physician Assistant (PA)
Phone: (916) 513-7027

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1710414933
LBN Legal business name Creative Clinical Research, Inc.
DBA Doing business as Elk Grove Clinical Research
Authorized official Austin, Kirk Jay Physician Assistant (PA)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2017
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710414933 NPPES
California MEDICAID 1962848374
California MEDICAID 1124313093
California MEDICAID 1689712317

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