MEDICARE: CITY OF WEST SACRAMENTO

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
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1811855075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF WEST SACRAMENTO

Provider Business Mailing Address
First Line	:	1110 W CAPITOL AVE
Second Line	:
City	:	WEST SACRAMENTO
State	:	CA
Zip	:	95691-2717
Country	:	US
Telephone Number	:	916-617-4500
Fax Number	:

Provider Business Practice Location Address
First Line	:	920 W CAPITOL AVE
Second Line	:
City	:	WEST SACRAMENTO
State	:	CA
Zip	:	95691-2713
Country	:	US
Telephone Number	:	916-617-4500
Fax Number	:

Authorized Official
Title or Position	:	HOMELESS MANAGER
Name	:	MR. MARK EDWARD SAWYER
Credential	:
Telephone Number	:	916-817-0302

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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Directions to “CITY OF WEST SACRAMENTO ” Practice Location

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