Healthcare Provider Details

I. General information

NPI: 1063996122
Provider Name (Legal Business Name): NATOMAS URGENT CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2018
Last Update Date: 09/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4321 TRUXEL RD
SACRAMENTO CA
95834-3753
US

IV. Provider business mailing address

9045 BRUCEVILLE RD STE 100
ELK GROVE CA
95758-5950
US

V. Phone/Fax

Practice location:
  • Phone: 916-524-6976
  • Fax:
Mailing address:
  • Phone: 916-497-9110
  • Fax: 916-226-2656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. BEVERLY JANE CAPEL
Title or Position: MANAGER
Credential:
Phone: 916-479-9110