Healthcare Provider Details

I. General information

NPI: 1124498191
Provider Name (Legal Business Name): COUNTY OF SACRAMENTO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2015
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001A EAST PKWY STE 100
SACRAMENTO CA
95823-2501
US

IV. Provider business mailing address

7001A EAST PKWY STE 400
SACRAMENTO CA
95823-2501
US

V. Phone/Fax

Practice location:
  • Phone: 916-875-0847
  • Fax: 916-875-0877
Mailing address:
  • Phone: 916-875-4984
  • Fax: 916-875-6970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RYAN QUIST
Title or Position: DEPUTY DIRECTOR
Credential:
Phone: 916-875-9904