Provider Demographics
NPI:1932359056
Name:ANTHONY F BELLOMO MD INC
Entity Type:Organization
Organization Name:ANTHONY F BELLOMO MD INC
Other - Org Name:SACRAMENTO SPINE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:F
Authorized Official - Last Name:BELLOMO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-441-1973
Mailing Address - Street 1:2805 J ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-4307
Mailing Address - Country:US
Mailing Address - Phone:916-441-1973
Mailing Address - Fax:916-441-1971
Practice Address - Street 1:2805 J ST
Practice Address - Street 2:SUITE 210
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-4307
Practice Address - Country:US
Practice Address - Phone:916-441-1973
Practice Address - Fax:916-441-1971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-25
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA79283207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty