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NPI Code Detail

MEDICARE: BETTY HOM MD

MEDICARE: BETTY HOM MD
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
1207Q00000XFamily Medicine PhysicianA184494CA

General Provider Information

NPI Number : 1972068625
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETTY HOM MD
Provider Business Mailing Address
First Line : PO BOX 255228
Second Line :
City : SACRAMENTO
State : CA
Zip : 95865-5228
Country : US
Telephone Number : 800-470-0071
Fax Number : 916-854-6769
Provider Business Practice Location Address
First Line : 2030 SUTTER PL STE 2000
Second Line :
City : DAVIS
State : CA
Zip : 95616-6216
Country : US
Telephone Number : 530-750-5800
Fax Number : 530-750-5804
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2019
Last Update Date : 12/05/2025

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Directions to “ BETTY HOM MD” Practice Location

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