SAC CITY MD
NPI 1679180939
Family Medicine in Sacramento, CA

Active since September 29, 2020
8120 TIMBERLAKE WAY STE 108, SACRAMENTO, CA 95823(916) 252-5000(916) 245-3252 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 6, 2021, Sep 29, 2020 (2 updates tracked since 2020).

About Sac City Md NPPES

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

SAC CITY MD (NPI 1679180939) is a healthcare organization registered as a family medicine in Sacramento, California and active in the NPI registry since September 2020. The organization lists Malathi Shanmugam, President, as its authorized official.

NPPES Registry Identity

NPI1679180939
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSAC CITY MD
Location Address8120 TIMBERLAKE WAY STE 108Sacramento, CA 95823-5413
Mailing Address8120 Timberlake Way Ste 108Sacramento, CA 95823-5413 · (916) 252-5000 · Fax (916) 245-3252
Fax(916) 245-3252
Organization SubpartNo
Authorized OfficialMalathi ShanmugamPresident · (916) 252-5000
Enumeration DateSeptember 29, 2020
Last NPPES UpdateApril 6, 20212 updates tracked since enumeration
NPPES CertifiedApril 6, 2021
✔ NPI 1679180939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8120 TIMBERLAKE WAY STE 108, Sacramento, CA 95823

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sac City Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sac City MD, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1356509608
8120 TIMBERLAKE WAY STE 108
Sacramento, CA 95823
(916) 252-5000
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sac City MD's NPI number?

The NPI number for Sac City MD is 1679180939. It was assigned to this organization in the NPPES registry on September 29, 2020.

Where is Sac City MD located?

Sac City MD is located at 8120 Timberlake Way Ste 108, Sacramento, CA 95823. The listed phone number is (916) 252-5000.

What is Sac City MD's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sac City MD enrolled in Medicare?

Yes. Sac City MD is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sac City MD?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Sac City MD. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sac City MD was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.