Healthcare Provider Details

I. General information

NPI: 1225431448
Provider Name (Legal Business Name): CAROLINE ESGUERRA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2014
Last Update Date: 10/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 DUCKHORN DR
SACRAMENTO CA
95834-2589
US

IV. Provider business mailing address

3400 DATA DR
RANCHO CORDOVA CA
95670-7956
US

V. Phone/Fax

Practice location:
  • Phone: 916-575-8000
  • Fax: 916-575-8099
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA132724
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: