Sacramento Knee & Sports Medicine Medical Corporation

LBN: Sacramento Knee & Sports Medicine Medical Corporation
Sacramento Knee & Sports Medicine Medical Corporation is an health care organization with primary practice located at 2801 K St Ste 310 , Sacramento CA 95816. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Allopathic & Osteopathic Physicians / Sports Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty. Sacramento Knee & Sports Medicine Medical Corporation can be contacted via phone (916) 454-6677, or through Rodriguez, Evelyn L via phone (916) 454-6677.

Contact Information

Primary practice address
2801 K St Ste 310 Sacramento CA 95816
Phone: (916) 454-6677
Fax: (916) 733-8741
Website:
Map and Directions
Authorized official contact:
Name: Rodriguez, Evelyn L
Phone: (916) 454-6677

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1922115575
LBN Legal business name Sacramento Knee & Sports Medicine Medical Corporation
DBA Doing business as
Authorized official Rodriguez, Evelyn L
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2006
Last updated Aug 21st, 2018 - about 6 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 1922115575 NPPES
California Other ZZZ00355Z BLUE SHIELD OF CALIF
California Other 170865900 BLUE SHIELD OF CALIF
California MEDICAID GR0064540 BLUE SHIELD OF CALIF

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