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Contact Information

SACRAMENTO KNEE & SPORTS MEDICINE
2801 K ST STE 310
SACRAMENTO, CA95816
 Phone: 916-454-6677
 Fax: 916-733-8741
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SACRAMENTO KNEE & SPORTS MEDICINE

NPI Number 1922115575
LBN Legal business name SACRAMENTO KNEE & SPORTS MEDICINE
Authorized official EVELYN RODRIGUEZ - (FINANCIAL ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/23/2006
Last updated 01/13/2026 - About 5 months ago
Identifiers
CA Medicaid GR0064540
CA Other ZZZ00355Z BLUE SHIELD OF CALIF
CA Other 170865900 US DEPT OF LABOR
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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