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CHILDREN'S MEDICAL CLINIC
NPI 1821158114
Specialist in Roseville, CA

Active since December 10, 2006
729 SUNRISE AVE, SUITE 501, ROSEVILLE, CA 95661(916) 786-5800(916) 773-3001 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Children's Medical Clinic NPPES

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

CHILDREN'S MEDICAL CLINIC (NPI 1821158114) is a healthcare organization registered as a specialist in Roseville, California and active in the NPI registry since December 2006. The organization lists David L. Bannister, Owner, as its authorized official.

NPPES Registry Identity

NPI1821158114
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCHILDREN'S MEDICAL CLINIC
Location Address729 SUNRISE AVE, SUITE 501Roseville, CA 95661-4565
Mailing Address729 Sunrise Ave, Suite 501Roseville, CA 95661-4565 · (916) 786-5800 · Fax (916) 773-3001
Phone(916) 786-5800
Fax(916) 773-3001
Organization SubpartNo
Authorized OfficialDavid L. BannisterOwner · (916) 786-5800
Enumeration DateDecember 10, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1821158114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G031541
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.
729 SUNRISE AVE, Roseville, CA 95661
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Other Identifiers 1

MedicaidA44802CA

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

Other Providers at the Same Location NPPES 20

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

RICHARD B. D. CHUN, M.D. PROFESSIONAL CORPORATION
Clinic/Center (Primary Care)
729 SUNRISE AVE, STE 619
ROSEVILLE, CA 95661
Placer County (916) 783-7118
MRS. CATHERINE M. NIGRO RN
Registered Nurse
729 SUNRISE AVE, SUITE 900
ROSEVILLE, CA 95661
Placer County (916) 781-3387
DR. JOHN T BAKOS M.D., PHD
Internal Medicine
729 SUNRISE AVE, SUITE 610
ROSEVILLE, CA 95661
Placer County (916) 347-7001
ROSEVILLE PAIN MANAGEMENT, INC
Specialist
729 SUNRISE AVE, SUITE 612
ROSEVILLE, CA 95661
Placer County (916) 786-3222
KATHRYN ODOM CALFEE M.A., MFT
Marriage & Family Therapist
729 SUNRISE AVE, SUITE 800
ROSEVILLE, CA 95661
Placer County (916) 772-6701
MS. JAN WILLIAMS BARTUSKA
Nurse Practitioner (Family)
729 SUNRISE AVE, SUITE 900
ROSEVILLE, CA 95661
Placer County (916) 781-3310
JANET KAY THOMPSON FNP
Nurse Practitioner (Family)
729 SUNRISE AVE, SUITE 900
ROSEVILLE, CA 95661
Placer County (916) 781-3387
MARILYSE ANN RYAN PA-C
Physician Assistant (Medical)
729 SUNRISE AVE, # 900
ROSEVILLE, CA 95661
Placer County (916) 771-6539

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 Children's Medical Clinic's NPI number?

The NPI number for Children's Medical Clinic is 1821158114. It was assigned to this organization in the NPPES registry on December 10, 2006.

Where is Children's Medical Clinic located?

Children's Medical Clinic is located at 729 Sunrise Ave Suite 501, Roseville, CA 95661. The listed phone number is (916) 786-5800.

What is Children's Medical Clinic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Children's Medical Clinic was last updated on August 22, 2020. 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.