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Contact Information

CAPITOL CITY MEDICAL GROUP, INC
500 UNIVERSITY AVE
SUITE 200
SACRAMENTO, CA95825-6523
 Phone: 916-920-1200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Bone Densitometry Radiologic Technologist

2471B0102X
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for CAPITOL CITY MEDICAL GROUP INC · (Female)

NPI Number 1447238092
Status Active
Credentials
Entity Individual
Enumeration date 01/04/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • CA Medicaid GR0088950
  • CA Other ZZZ61216Z BLUE SHIELD PROVIDER ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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