NUTRITION BASED INTEGRATIVE MEDICINE
NPI 1760738413
Family Medicine - Adult Medicine in Sacramento, CA

Active since July 31, 2012
758 UNIVERSITY AVE, SACRAMENTO, CA 95825(916) 564-3300(916) 927-1831 Get Directions Write a Review

NPPES record last updated: July 31, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Family Medicine
  • Adult Medicine

About NUTRITION BASED INTEGRATIVE MEDICINE

This page provides the complete NPI Profile along with additional information for Nutrition Based Integrative Medicine, a primary care provider established in Sacramento, California operating as a Family Medicine, focusing in adult medicine . The healthcare provider is registered in the NPI registry with number 1760738413 assigned on July 2012. The practitioner's primary taxonomy code is 207QA0505X with license number 20A10508 (CA). The provider is registered as an organization and their NPI record was last updated 14 years ago. Nutrition Based Integrative Medicine operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Wayne Daniel D.o. (Owner)

NPI
1760738413 Verify this NPI
Provider Name
NUTRITION BASED INTEGRATIVE MEDICINE
Entity Type
Organization
Location Address
758 UNIVERSITY AVE SACRAMENTO, CA 95825
Location Phone
(916) 564-3300
Location Fax
(916) 927-1831
Mailing Address
9115 YELLOW FLOWER PL FAIR OAKS, CA 95628
Mailing Phone
(916) 564-3300
Mailing Fax
(916) 927-1831
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-31-2012
Last Update Date
07-31-2012
Code Navigator

A primary care provider (PCP) like Nutrition Based Integrative Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Family Medicine Adult Medicine

Taxonomy Code
207QA0505X
Type
Allopathic & Osteopathic Physicians
License No.
20A10508
License State
CA
Taxonomy Description
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207QS0010XAllopathic & Osteopathic Physicians

Family Medicine
Sports Medicine

20A10508 (CA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WAYNE DANIEL D.O.

Authorized Official Title
OWNER
Authorized Official Phone
(916) 564-3300

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Occupational Therapist (Physical Rehabilitation)
758 UNIVERSITY AVE
SACRAMENTO, CA 95825

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760738413, enumerated as an "organization" on July 31, 2012.

The provider is located at 758 UNIVERSITY AVE SACRAMENTO, CA 95825 and the phone number is (916) 564-3300.

Family Medicine with taxonomy code 207QA0505X and a focus in Adult Medicine.