Healthcare Provider Details

I. General information

NPI: 1225966880
Provider Name (Legal Business Name): PRIMEMD CLINICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5800 STANFORD RANCH RD SUITE 720
ROCKLIN CA
95765
US

IV. Provider business mailing address

2108 N ST STE N
SACRAMENTO CA
95816-5712
US

V. Phone/Fax

Practice location:
  • Phone: 916-235-3935
  • Fax: 703-977-2063
Mailing address:
  • Phone: 916-235-3935
  • Fax: 703-977-2063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SURESH K PASYA
Title or Position: PHYSICIAN
Credential: MD
Phone: 916-235-3935