Organization · Type 2 NPI

Sutter Health Sacramento Sierra Region

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Sacramento, CA

NPI number 1619927449 Active

Practice location

7200 S Land Park Dr
Sacramento, CA 95831-3612

Call (800) 353-3369 Map

Mailing address

PO Box 160100
Sacramento, CA 95816-0100

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	030000102 (CA)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1619927449
Entity type: Organization (Type 2)
Issued: May 11, 2006
Last updated: Jan 7, 2022
Status: Active
Subpart: Yes of Sutter Health Sacramento Sierra Region

Other names

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Sutter Dialysis South · doing business as
Sutter Dialysis South · doing business as

Authorized official

Margie Souza
Cbo Director
(916) 978-8701

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1619927449

Sutter Health Sacramento Sierra Region's National Provider Identifier is 1619927449, issued on May 11, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Sacramento, CA. The record was last updated on Jan 7, 2022.