Healthcare Provider Details

I. General information

NPI: 1417169079
Provider Name (Legal Business Name): SIMONE LOPES TRAMMA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 STILLWATER RD
WEST SACRAMENTO CA
95605-1630
US

IV. Provider business mailing address

830 STILLWATER RD
WEST SACRAMENTO CA
95605-1630
US

V. Phone/Fax

Practice location:
  • Phone: 279-599-2790
  • Fax:
Mailing address:
  • Phone: 279-599-2790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberA100785
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: