Healthcare Provider Details

I. General information

NPI: 1588835375
Provider Name (Legal Business Name): CAPITOL ENDOCRINOLOGY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2008
Last Update Date: 11/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 CREEKSIDE DR STE 2700
FOLSOM CA
95630-3485
US

IV. Provider business mailing address

PO BOX 2890
GRANITE BAY CA
95746-2890
US

V. Phone/Fax

Practice location:
  • Phone: 530-677-0700
  • Fax: 530-676-7850
Mailing address:
  • Phone: 530-677-0700
  • Fax: 530-676-3666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: JAIWANT RANGI
Title or Position: PRESIDENT
Credential: M. D.
Phone: 530-677-0700