Provider Demographics
NPI:1639346901
Name:FELIX, FRANCIS JOSE MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:JOSE MARIA
Last Name:FELIX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 26TH ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-6902
Mailing Address - Country:US
Mailing Address - Phone:916-595-1960
Mailing Address - Fax:
Practice Address - Street 1:2868 PROSPECT PARK DR
Practice Address - Street 2:SUITE 230
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670-6020
Practice Address - Country:US
Practice Address - Phone:916-464-4457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG073122207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG14311Medicare UPIN