Provider Demographics
NPI:1669956710
Name:SACRAMENTO OCCUPATIONAL MEDICAL CENTER
Entity type:Organization
Organization Name:SACRAMENTO OCCUPATIONAL MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GEST
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:510-653-5200
Mailing Address - Street 1:PO BOX 99440
Mailing Address - Street 2:
Mailing Address - City:EMERYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94662-9440
Mailing Address - Country:US
Mailing Address - Phone:510-653-5200
Mailing Address - Fax:510-653-5210
Practice Address - Street 1:3840 WATT AVE.
Practice Address - Street 2:NUMBER B
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-2640
Practice Address - Country:US
Practice Address - Phone:510-653-5200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-24
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine