Provider Demographics
NPI:1043368897
Name:ROCKLIN PEDIATRICS
Entity Type:Organization
Organization Name:ROCKLIN PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:CAFARELLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:888-526-9682
Mailing Address - Street 1:5440 PARK DRIVE
Mailing Address - Street 2:# 104
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95765
Mailing Address - Country:US
Mailing Address - Phone:888-526-9682
Mailing Address - Fax:866-604-7279
Practice Address - Street 1:5440 PARK DRIVE
Practice Address - Street 2:# 104
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95765
Practice Address - Country:US
Practice Address - Phone:888-526-9682
Practice Address - Fax:866-604-7279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty