West Sacramentopediatric Medical Group,Inc
LBN: West Sacramentopediatric Medical Group,Inc
West Sacramentopediatric Medical Group,Inc is an health care organization with primary practice located at 1050 Jefferson Blvd , West Sacramento CA 95691-3304. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty.
West Sacramentopediatric Medical Group,Inc can be contacted via phone (916) 371-3787, or through Tarrant, Judith J via phone (916) 371-3787.
Contact Information
Primary practice address
1050 Jefferson Blvd
West Sacramento CA 95691-3304
Phone: (916) 371-3787
Fax: (916) 371-3790
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 208000000X | California |
Profile Details
| NPI number | 1215009212 |
|---|---|
| LBN Legal business name | West Sacramentopediatric Medical Group,Inc |
| DBA Doing business as | |
| Authorized official | Tarrant, Judith J RN,FNP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Sep 17th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215009212 | NPPES |
| California | Other | GR0101570 | GROUP NUMBER FOR CHDP |
| California | Other | 1841836 | GROUP NUMBER FOR CHDP |
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