Provider Demographics
NPI:1801848213
Name:PEDIATRIC URGENT CARE OF SACRAMENTO, INC
Entity Type:Organization
Organization Name:PEDIATRIC URGENT CARE OF SACRAMENTO, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAHAT
Authorized Official - Middle Name:
Authorized Official - Last Name:SAIED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-682-7777
Mailing Address - Street 1:7601 HOSPITAL DR
Mailing Address - Street 2:SUITE 101B
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-5408
Mailing Address - Country:US
Mailing Address - Phone:916-682-7777
Mailing Address - Fax:916-681-6258
Practice Address - Street 1:7601 HOSPITAL DR
Practice Address - Street 2:SUITE 101B
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-5408
Practice Address - Country:US
Practice Address - Phone:916-682-7777
Practice Address - Fax:916-681-6258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA36312208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty