MEDICARE: RICHARD DELPERO M.D.

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
1	207L00000X	Anesthesiology Physician	G49635	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	00G496350	OTHER	CA	BS OF CA

General Provider Information

NPI Number	:	1487609194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD DELPERO M.D.

Provider Business Mailing Address
First Line	:	10470 OLD PLACERVILLE RD
Second Line	:	SUITE 100
City	:	SACRAMENTO
State	:	CA
Zip	:	95827-2539
Country	:	US
Telephone Number	:	800-470-0071
Fax Number	:

Provider Business Practice Location Address
First Line	:	460 PLUMAS BLVD
Second Line	:	SUITE 202
City	:	YUBA CITY
State	:	CA
Zip	:	95991-5005
Country	:	US
Telephone Number	:	530-749-5501
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	07/16/2015

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Directions to “ RICHARD DELPERO M.D.” Practice Location

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