Provider Demographics
NPI:1295816585
Name:FRANCIS R SACCO MD INC
Entity Type:Organization
Organization Name:FRANCIS R SACCO MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:ROLAND
Authorized Official - Last Name:SACCO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-847-1454
Mailing Address - Street 1:7880 WREN AV
Mailing Address - Street 2:SUITE E 153
Mailing Address - City:GILROY
Mailing Address - State:CA
Mailing Address - Zip Code:95020-7802
Mailing Address - Country:US
Mailing Address - Phone:408-847-1454
Mailing Address - Fax:408-847-1425
Practice Address - Street 1:7880 WREN AV
Practice Address - Street 2:SUITE E 153
Practice Address - City:GILROY
Practice Address - State:CA
Practice Address - Zip Code:95020-7802
Practice Address - Country:US
Practice Address - Phone:408-847-1454
Practice Address - Fax:408-847-1425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG22105207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G22105Medicare UPIN