Healthcare Provider Details

I. General information

NPI: 1063328938
Provider Name (Legal Business Name): OSCAR MARQUEZ BUCIO JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8009 BRUCEVILLE RD
SACRAMENTO CA
95823-2332
US

IV. Provider business mailing address

8558 MOUNTAIN BELL DR
ELK GROVE CA
95624-4219
US

V. Phone/Fax

Practice location:
  • Phone: 916-288-0326
  • Fax:
Mailing address:
  • Phone: 916-997-6995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: