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SACRAMENTO STREET MEDICINE
NPI 1548989692
Preventive Medicine - Public Health & General Preventive Medicine in Sacramento, CA

Active since August 23, 2022
2211 DEL PASO BLVD, SACRAMENTO, CA 95815(916) 720-2237(800) 815-8510 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2024, Aug 23, 2022 (2 updates tracked since 2022).

About Sacramento Street Medicine NPPES

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

SACRAMENTO STREET MEDICINE (NPI 1548989692) is a healthcare organization registered as a public health & general preventive medicine in Sacramento, California and active in the NPI registry since August 2022. The organization maintains a secondary practice location in Rancho Cordova and lists Anthony Menacho, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1548989692
Entity TypeOrganization
Primary Taxonomy2083P0901X
Legal Business NameSACRAMENTO STREET MEDICINE
Location Address2211 DEL PASO BLVDSacramento, CA 95815-3101
Mailing Address2917 Grayson WayRancho Cordova, CA 95670 · (916) 800-4054
Phone(916) 720-2237
Fax(800) 815-8510
Organization SubpartNo
Authorized OfficialAnthony MenachoExecutive Director · (909) 730-5241
Enumeration DateAugust 23, 2022
Last NPPES UpdateDecember 17, 20242 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
✔ NPI 1548989692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0901X
Definition
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X
2211 DEL PASO BLVD, Sacramento, CA 95815
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Secondary Practice Location 1

Location 12917 Grayson WayRancho Cordova, CA 95670 · Phone (916) 800-4054

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

Other Providers at the Same Location NPPES

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

SAFER ALTERNATIVES THRU NETWORKING AND EDUCATION
Clinic/Center
2211 DEL PASO BLVD
SACRAMENTO, CA 95815
Sacramento County (916) 665-8226

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 Street Medicine's NPI number?

The NPI number for Sacramento Street Medicine is 1548989692. It was assigned to this organization in the NPPES registry on August 23, 2022.

Where is Sacramento Street Medicine located?

Sacramento Street Medicine is located at 2211 Del Paso Blvd, Sacramento, CA 95815. The listed phone number is (916) 720-2237.

What is Sacramento Street Medicine's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

When was this NPI record last updated?

The NPPES record for Sacramento Street Medicine was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.