Healthcare Provider Details

I. General information

NPI: 1346347333
Provider Name (Legal Business Name): SUTTER EXPRESS CARE MEDICAL CLINIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2751 DEL PASO RD
SACRAMENTO CA
95835-2303
US

IV. Provider business mailing address

2200 RIVER PLAZA DR 3RD FLOOR
SACRAMENTO CA
95833-4134
US

V. Phone/Fax

Practice location:
  • Phone: 916-691-5959
  • Fax: 916-503-3846
Mailing address:
  • Phone: 916-691-5959
  • Fax: 916-503-3846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License NumberPENDING
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMEDICAL CORPORATION
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberMEDICAL CORPORATION
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMEDICAL CORPORATION
License Number StateCA

VIII. Authorized Official

Name: THOMAS N. ATKINS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 916-691-5900