SACRAMENTO PEDIATRICS MEDICAL GROUP
NPI 1063803203
Pediatrics in Sacramento, CA

Q: What is Sacramento Pediatrics Medical Group's NPI number?

The NPI number for Sacramento Pediatrics Medical Group is 1063803203. It was assigned to this organization in the NPPES registry on February 10, 2015.

Q: What is Sacramento Pediatrics Medical Group's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since February 10, 2015CLIA 05D0890890 · Waiver

7501 HOSPITAL DR, SUITE 206, SACRAMENTO, CA 95823(916) 682-7481(916) 422-6500 Get Directions Write a Review

NPPES record last updated: February 10, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Sacramento Pediatrics Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SACRAMENTO PEDIATRICS MEDICAL GROUP (NPI 1063803203) is a healthcare organization registered as a pediatrics in Sacramento, California and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through April 10, 2027 and lists Stephanie Anne Walton, President, as its authorized official.

NPPES Registry Identity

NPI1063803203

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameSACRAMENTO PEDIATRICS MEDICAL GROUP

Location Address7501 HOSPITAL DR, SUITE 206Sacramento, CA 95823-5405

Mailing Address7237 E Southgate Dr, Suite ASacramento, CA 95823-2637 · (916) 422-6635

Phone(916) 682-7481

Fax(916) 422-6500

Organization SubpartNo

Authorized OfficialStephanie Anne WaltonPresident · (916) 422-6635

Enumeration DateFebruary 10, 2015

✔ NPI 1063803203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A34512

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

7501 HOSPITAL DR, Sacramento, CA 95823

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0890890

Sacramento Pediatrics Medical Corp · Sacramento, CA

Active · expires Apr 10, 2027

CLIA Number05D0890890

Laboratory TypePhysician Office

Certificate Effective DateApril 11, 2025

Certificate Expiration DateApril 10, 2027

Laboratory DirectorDr. Stephanie Walton

Laboratory Phone(916) 682-7841

Laboratory LocationSacramento Pediatrics Medical Corp7601 Hospital Drive Suite 100A, Sacramento, CA 95823

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RONALD LEE RASMUSSEN D.D.S.

Dentist (General Practice)

7501 HOSPITAL DR, SUITE 302
SACRAMENTO, CA 95823

Sacramento County (916) 689-1100

AFSHIN ESLAMI MD INC

Surgery

7501 HOSPITAL DR, SUITE 305
SACRAMENTO, CA 95823

Sacramento County (916) 423-2116

MRS. JANE REYES BERGER NP-C

Nurse Practitioner (Family)

7501 HOSPITAL DR, SUITE 203
SACRAMENTO, CA 95823

Sacramento County (916) 681-1130

LE VU DENTAL CORPORATION

Dentist

7501 HOSPITAL DR, #202
SACRAMENTO, CA 95823

Sacramento County (916) 682-9031

COLIN B ARNOLD M.D.

Ophthalmology

7501 HOSPITAL DR, #105
SACRAMENTO, CA 95823

Sacramento County (916) 423-4040

SACRAMENTO VALLEY PEDIATRICS MEDICAL GROUP INC

Nurse Practitioner (Pediatrics)

7501 HOSPITAL DR, SUITE 203
SACRAMENTO, CA 95823

Sacramento County (916) 681-1130

KARYL LYNN FIDDYMENT RNP

Nurse Practitioner (Obstetrics & Gynecology)

7501 HOSPITAL DR
SACRAMENTO, CA 95823

Sacramento County (916) 681-2660

MR. DERRICK JOHN MULLIN FNP

Nurse Practitioner (Family)

7501 HOSPITAL DR, SUITE 205
SACRAMENTO, CA 95823

Sacramento County (916) 689-2121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sacramento Pediatrics Medical Group's NPI number?

The NPI number for Sacramento Pediatrics Medical Group is 1063803203. It was assigned to this organization in the NPPES registry on February 10, 2015.

Where is Sacramento Pediatrics Medical Group located?

Sacramento Pediatrics Medical Group is located at 7501 Hospital Dr Suite 206, Sacramento, CA 95823. The listed phone number is (916) 682-7481.

What is Sacramento Pediatrics Medical Group's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Sacramento Pediatrics Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0890890) is associated with this NPI, valid through April 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sacramento Pediatrics Medical Group was last updated on February 10, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.