CHILDRENS SPECIALIST MEDICAL GROUP OF SACRAMENTO - NPI 1114007432

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

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About Childrens Specialist Medical Group Of Sacramento NPPES

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

CHILDRENS SPECIALIST MEDICAL GROUP OF SACRAMENTO (NPI 1114007432) is a healthcare organization registered as a specialist in Sacramento, California and active in the NPI registry since October 2006. The organization lists Andrew Wertz, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1114007432

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NamePERINATAL & PEDIATRIC SPECIALISTS MEDICAL GROUP INC.

Location Address5301 F ST, STE 313Sacramento, CA 95819-3226

Mailing Address5301 F St Ste 313Sacramento, CA 95819-3222 · (916) 736-6470 · Fax (916) 736-6798

Phone(916) 736-6470

Fax(916) 736-6798

Organization SubpartNo

Authorized OfficialAndrew WertzPresident/ceo · (916) 736-6470

Enumeration DateOctober 17, 2006

Last NPPES UpdateJuly 24, 2007

✔ NPI 1114007432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · 105882

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5301 F ST, Sacramento, CA 95819

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Other Names 1

Doing Business AsChildrens Specialist Medical Group Of Sacramento

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP