Healthcare Provider Details

I. General information

NPI: 1518020304
Provider Name (Legal Business Name): GENE ROGERS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9616 MICRON AVE 850B
SACRAMENTO CA
95827-2625
US

IV. Provider business mailing address

11431 GOLD COUNTRY BLVD
GOLD RIVER CA
95670-7810
US

V. Phone/Fax

Practice location:
  • Phone: 916-875-9847
  • Fax: 916-875-9833
Mailing address:
  • Phone: 916-631-8479
  • Fax: 916-631-8404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberC42535
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberC42535
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: