Healthcare Provider Details

I. General information

NPI: 1659469302
Provider Name (Legal Business Name): ADAM JACOB SEIVER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 09/27/2021
Certification Date: 09/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 CADILLAC DR SUITE 210
SACRAMENTO CA
95825-5453
US

IV. Provider business mailing address

77 CADILLAC DR SUITE 210
SACRAMENTO CA
95825-5453
US

V. Phone/Fax

Practice location:
  • Phone: 916-325-1040
  • Fax: 916-669-4144
Mailing address:
  • Phone: 916-325-1040
  • Fax: 916-669-4144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberG44057
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: