| Sacramento Family Medical Center | |
|
7311 Greenhaven Dr Suite 145 Sacramento CA 95831-3572 | |
| (916) 228-4300 | |
| (916) 424-6200 |
| Full Name | Sacramento Family Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 7311 Greenhaven Dr, Sacramento, California |
| Authorized Official Name and Position | Amy Clothier (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9162284300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacramento Family Medical Center 7311 Greenhaven Dr Ste 145 Sacramento CA 95831-3595 Ph: (916) 228-4300 | Sacramento Family Medical Center 7311 Greenhaven Dr Suite 145 Sacramento CA 95831-3572 Ph: (916) 228-4300 |
| NPI Number | 1396198958 |
|---|---|
| Provider Enumeration Date | 07/19/2016 |
| Last Update Date | 02/21/2024 |
| Medicare PECOS PAC ID | 9133415292 |
|---|---|
| Medicare Enrollment ID | O20160915002180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396198958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert J Asuncion |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619945821 PECOS PAC ID: 0244234136 Enrollment ID: I20071227000536 |
| Provider Name | Andrew J Bagdasarian |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831564350 PECOS PAC ID: 4688979479 Enrollment ID: I20160216000908 |
| Provider Name | Colin Tempelis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689235111 PECOS PAC ID: 7911238613 Enrollment ID: I20220616001503 |
| Provider Name | Mika M Ishisaka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447833991 PECOS PAC ID: 5698144103 Enrollment ID: I20221205003117 |
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