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NPI Code Detail

MEDICARE: DR. TOBIAS ANTHONY PAIVA DO

MEDICARE:  DR. TOBIAS ANTHONY PAIVA  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician20A9775CA
2207RS0010XSports Medicine (Internal Medicine) Physician20A 9975CA

General Provider Information

NPI Number : 1669456174
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TOBIAS ANTHONY PAIVA DO
Provider Business Mailing Address
First Line : 10470 OLD PLACERVILLE RD
Second Line : SUITE 100
City : SACRAMENTO
State : CA
Zip : 95827-2539
Country : US
Telephone Number : 800-470-0071
Fax Number :
Provider Business Practice Location Address
First Line : 1535 RIVER PARK DR STE 2000
Second Line :
City : SACRAMENTO
State : CA
Zip : 95815-4601
Country : US
Telephone Number : 916-286-1080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2005
Last Update Date : 07/21/2023

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Directions to “ DR. TOBIAS ANTHONY PAIVA DO” Practice Location

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