Provider Demographics
NPI:1811054745
Name:CITY OF SACRAMENTO
Entity type:Organization
Organization Name:CITY OF SACRAMENTO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEGASPI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-808-4593
Mailing Address - Street 1:3230 J STREET
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-4405
Mailing Address - Country:US
Mailing Address - Phone:916-808-5352
Mailing Address - Fax:916-808-5060
Practice Address - Street 1:3230 J ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-4405
Practice Address - Country:US
Practice Address - Phone:916-264-5352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMTE00733FMedicaid
MMM00193MMedicare PIN
CA590008521Medicare PIN