Healthcare Provider Details

I. General information

NPI: 1326232794
Provider Name (Legal Business Name): WILLIAM T AMESS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2007
Last Update Date: 12/15/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4860 Y ST STE B0400
SACRAMENTO CA
95817-2307
US

IV. Provider business mailing address

4860 Y ST STE B0400
SACRAMENTO CA
95817-2307
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-2737
  • Fax:
Mailing address:
  • Phone: 916-734-2737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA101329
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: