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NPI Code Detail

MEDICARE: DR. SAMUEL ROULEAU

MEDICARE: DR. SAMUEL ROULEAU
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
1207P00000XEmergency Medicine PhysicianA182584CA
2207RC0200XCritical Care Medicine (Internal Medicine) PhysicianA182584CA

General Provider Information

NPI Number : 1851982326
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMUEL ROULEAU
Provider Business Mailing Address
First Line : 4301 X ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2214
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4301 X ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2214
Country : US
Telephone Number : 916-734-5974
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2021
Last Update Date : 12/09/2025

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Directions to “ DR. SAMUEL ROULEAU ” Practice Location

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