Healthcare Provider Details

I. General information

NPI: 1922456490
Provider Name (Legal Business Name): SUTTER HEALTH SACRAMENTO SIERRA REGION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2016
Last Update Date: 01/07/2022
Certification Date: 01/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 MEDICAL PLAZA DR. SUITE 230
ROSEVILLE CA
95661
US

IV. Provider business mailing address

8 MEDICAL PLAZA DR. SUITE 230
ROSEVILLE CA
95661
US

V. Phone/Fax

Practice location:
  • Phone: 916-781-1515
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JAMES E CONFORTI
Title or Position: CEO/PRESIDENT
Credential:
Phone: 916-887-7040