PEDIATRIC MEDICAL CENTER OF SACRAMENTO
NPI 1326583030
Nurse Practitioner - Pediatrics in Sacramento, CA
- Organization
- Nurse Practitioner
- Pediatrics
- CLIA Number: 05D0928350
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-13-2027
About PEDIATRIC MEDICAL CENTER OF SACRAMENTO
This page provides the complete NPI Profile along with additional information for Pediatric Medical Center Of Sacramento, a provider established in Sacramento, California operating as a Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1326583030 assigned on January 2017. The practitioner's primary taxonomy code is 363LP0200X with license number 95005332 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Pediatric Medical Center Of Sacramento. The authorized official of this NPI record is Perla-inez R Maulino M.d. (Medical Director)
- NPI
- 1326583030 Verify this NPI
- Provider Legal Name
- SACRAMENTO VALLEY PEDIATRICS MEDICAL GROUP INC
- Other Organization Name
- PEDIATRIC MEDICAL CENTER OF SACRAMENTO
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 7501 HOSPITAL DR SUITE 203 SACRAMENTO, CA 95823
- Location Phone
- (916) 681-1130
- Location Fax
- (916) 681-1180
- Mailing Address
- 7501 HOSPITAL DR SUITE 203 SACRAMENTO, CA 95823
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-04-2017
- Last Update Date
- 01-04-2017
- Code Navigator
A nurse practitioner (NP) like Pediatric Medical Center Of Sacramento is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Pediatrics
- Taxonomy Code
- 363LP0200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 95005332
- License State
- CA
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0928350
- Facility Type
- Physician Office
- Certificate Effective Date
- May 14, 2025
- Certificate Expiration Date
- May 13, 2027
- Laboratory Director
- PERLA INEZ MAULINO MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pediatric Medical Center Of Sacramento to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SACRAMENTO, CA 95823
SACRAMENTO, CA 95823
SACRAMENTO, CA 95823
SACRAMENTO, CA 95823
SACRAMENTO, CA 95823
SACRAMENTO, CA 95823
SACRAMENTO, CA 95823
SACRAMENTO, CA 95823
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326583030, enumerated as an "organization" on January 04, 2017.
The provider is located at 7501 HOSPITAL DR SUITE 203 SACRAMENTO, CA 95823 and the phone number is (916) 681-1130.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.
