Provider Demographics
NPI:1942255393
Name:CAPARAS, MARIA J SANTOS (MD)
Entity Type:Individual
Prefix:
First Name:MARIA J
Middle Name:SANTOS
Last Name:CAPARAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARIA JOSEFINA
Other - Middle Name:SANTOS
Other - Last Name:CAPARAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2025 MORSE AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-2115
Mailing Address - Country:US
Mailing Address - Phone:916-973-5300
Mailing Address - Fax:
Practice Address - Street 1:2008 MORSE AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-2135
Practice Address - Country:US
Practice Address - Phone:916-973-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC534612084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51507745OtherBCBS
AL051507745Medicaid
AL051507745Medicare ID - Type Unspecified
AL051507745Medicaid