| Capitol Family Medical Associates | |
|
4617 Freeport Blvd Ste F Sacramento CA 95822-2015 | |
| (916) 431-7384 | |
| (916) 244-9653 |
| Full Name | Capitol Family Medical Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 4617 Freeport Blvd Ste F, Sacramento, California |
| Authorized Official Name and Position | James Q Delgadillo (PHYSICIAN) |
| Authorized Official Contact | 9164317384 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Capitol Family Medical Associates 4617 Freeport Blvd Ste F Sacramento CA 95822-2015 Ph: (916) 431-7384 | Capitol Family Medical Associates 4617 Freeport Blvd Ste F Sacramento CA 95822-2015 Ph: (916) 431-7384 |
| NPI Number | 1164858510 |
|---|---|
| Provider Enumeration Date | 09/17/2013 |
| Last Update Date | 10/13/2022 |
| Medicare PECOS PAC ID | 0345618377 |
|---|---|
| Medicare Enrollment ID | O20221123001589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164858510 | NPI | - | NPPES |
| 1902842354 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A56390 (California) | Primary |
| Provider Name | James Q Delgadillo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982099263 PECOS PAC ID: 7214274083 Enrollment ID: I20191009003419 |
| Provider Name | Peter Din |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902331028 PECOS PAC ID: 2668739228 Enrollment ID: I20221026000056 |
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