Healthcare Provider Details

I. General information

NPI: 1700462827
Provider Name (Legal Business Name): THOMAS P. ANKER, DO., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2021
Last Update Date: 06/08/2021
Certification Date: 06/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2930 FREEPORT BLVD
SACRAMENTO CA
95818-3843
US

IV. Provider business mailing address

2930 FREEPORT BLVD
SACRAMENTO CA
95818-3843
US

V. Phone/Fax

Practice location:
  • Phone: 888-773-0339
  • Fax:
Mailing address:
  • Phone: 888-773-0339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: THOMAS PATRICK ANKER
Title or Position: PHYSICIAN/OWNER
Credential: DO
Phone: 310-975-4742