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NPI Code Detail

MEDICARE: SUTTER EXPRESS CARE MEDICAL CLINIC, INC.

MEDICARE: SUTTER EXPRESS CARE MEDICAL CLINIC, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMEDICAL CORPORATIONCA
2363A00000XPhysician AssistantMEDICAL CORPORATIONCA
3363L00000XNurse PractitionerMEDICAL CORPORATIONCA
4291U00000XClinical Medical LaboratoryPENDINGCA

General Provider Information

NPI Number : 1346347333
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUTTER EXPRESS CARE MEDICAL CLINIC, INC.
Provider Business Mailing Address
First Line : 2200 RIVER PLAZA DR
Second Line : 3RD FLOOR
City : SACRAMENTO
State : CA
Zip : 95833-4134
Country : US
Telephone Number : 916-691-5959
Fax Number : 916-503-3846
Provider Business Practice Location Address
First Line : 2751 DEL PASO RD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95835-2303
Country : US
Telephone Number : 916-691-5959
Fax Number : 916-503-3846
Authorized Official
Title or Position : PRESIDENT
Name : THOMAS N. ATKINS
Credential : M.D.
Telephone Number : 916-691-5900
Provider Enumeration Date : 09/20/2006
Last Update Date : 09/11/2025

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