| Sac City MD | |
|
1600 Creekside Dr Ste 3200 Folsom CA 95630-3447 | |
| (916) 252-5000 | |
| Not Available |
| Full Name | Sac City MD |
|---|---|
| Speciality | Family Medicine |
| Location | 1600 Creekside Dr Ste 3200, Folsom, California |
| Authorized Official Name and Position | Malathi Shanmugam (OWNER) |
| Authorized Official Contact | 2123006554 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sac City MD 407 Serpa Way Folsom CA 95630-6316 Ph: (646) 275-9999 | Sac City MD 1600 Creekside Dr Ste 3200 Folsom CA 95630-3447 Ph: (916) 252-5000 |
| NPI Number | 1659195766 |
|---|---|
| Provider Enumeration Date | 11/14/2024 |
| Last Update Date | 01/08/2025 |
| Certification Date | 01/08/2025 |
| Medicare PECOS PAC ID | 4587159504 |
|---|---|
| Medicare Enrollment ID | O20251217003358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659195766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Malathi Shanmugam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356509608 PECOS PAC ID: 9032259478 Enrollment ID: I20160628001828 |
| Provider Name | Sabah R Khan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427846864 PECOS PAC ID: 3173038296 Enrollment ID: I20250716002576 |
UC Davis Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 271 Turn Pike Dr, Folsom, CA 95630 Phone: 916-985-9350 |
Folsom Lake Primary Care PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2575 E Bidwell St Ste 210, Folsom, CA 95630 Phone: 916-984-7850 |
Thrive Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2390 E Bidwell St Ste 300, Folsom, CA 95630 Phone: 916-316-6469 |
Roy a Greenberg MD a PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Creekside Dr, Suite 2100, Folsom, CA 95630 Phone: 916-983-2663 Fax: 916-983-0602 |
Healthy Living Primary Care, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 82 Clarksville Rd Ste 120, Folsom, CA 95630 Phone: 916-983-8868 Fax: 916-983-8891 |
UC Davis Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 Turn Pike Dr, Folsom, CA 95630 Phone: 916-985-9300 |