NPI 1043609969

Preparing People for Success

Organisation Preferred Provider Organization Sacramento, CA

Practice location

Address: 1513 Sports Dr, Sacramento, CA 95834-1943
Phone: (916) 575-8851

Authorised official

Name: Shawn Vaughan-Williams
Title: Executive Director
Phone: (916) 575-8851

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 121528933 (CA)

Other Preferred Provider Organization providers in California →

Registry record

NPI: 1043609969
Entity type: Organization
NPI issued: 15 Jan 2015
Record last updated: 15 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.