Healthcare Provider Details

I. General information

NPI: 1275162950
Provider Name (Legal Business Name): DAYTON SNYDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2020
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 C ST STE 1600
SACRAMENTO CA
95816-3384
US

IV. Provider business mailing address

1531 N ST APT 505
SACRAMENTO CA
95814-5520
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-6805
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License NumberA210768
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: