| Sac City MD | |
|
8120 Timberlake Way Ste 108 Sacramento CA 95823-5413 | |
| (916) 252-5000 | |
| (916) 245-3252 |
| Full Name | Sac City MD |
|---|---|
| Speciality | Family Medicine |
| Location | 8120 Timberlake Way Ste 108, Sacramento, California |
| Authorized Official Name and Position | Malathi Shanmugam (PRESIDENT) |
| Authorized Official Contact | 9162525000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sac City MD 8120 Timberlake Way Ste 108 Sacramento CA 95823-5413 Ph: (916) 252-5000 | Sac City MD 8120 Timberlake Way Ste 108 Sacramento CA 95823-5413 Ph: (916) 252-5000 |
| NPI Number | 1679180939 |
|---|---|
| Provider Enumeration Date | 09/29/2020 |
| Last Update Date | 04/06/2021 |
| Certification Date | 04/06/2021 |
| Medicare PECOS PAC ID | 2365852118 |
|---|---|
| Medicare Enrollment ID | O20210322000198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679180939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Malathi Shanmugam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356509608 PECOS PAC ID: 9032259478 Enrollment ID: I20160628001828 |
| Provider Name | Lyshawn Xatiy Phommakhoth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306627260 PECOS PAC ID: 3870935224 Enrollment ID: I20240821002836 |
| Provider Name | Sabah R Khan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427846864 PECOS PAC ID: 3173038296 Enrollment ID: I20250716002576 |
Mercyclinic Norwood Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3911 Norwood Ave, Sacramento, CA 95838 Phone: 916-929-8575 Fax: 916-929-3548 |
Valley Care Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7248 S Land Park Dr, Suite 105, Sacramento, CA 95831 Phone: 916-395-0826 Fax: 916-395-8364 |
Clara's House Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3319 J St, Sacramento, CA 95816 Phone: 916-448-3976 Fax: 916-448-3984 |
Better Living in a Sociable Society Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1207 Front St Ste 14, Sacramento, CA 95814 Phone: 279-267-3800 |
Judith Kue Dental Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7260 East Southgate Drive, Suite B, Sacramento, CA 95823 Phone: 916-429-1325 Fax: 916-429-1326 |
Fast Medical Care LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 342 Main Ave, Sacramento, CA 95838 Phone: 916-299-9896 Fax: 916-299-9941 |