# SIERRA ROSE FAMILY PHYSICIANS MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215012141
- **Authorized official:** MRS. SUZIE ALLISON (MANAGER)
- **Authorized official phone:** (916) 797-0333

## Contact information

- **Practice address:** 8735 SIERRA COLLEGE BLVD, SUITE 100, ROSEVILLE, CA 95661-5920
- **Practice address phone:** (916) 786-5908
- **Mailing address:** 576 N SUNRISE AVE STE 220, ROSEVILLE, CA 95661-2847
- **Mailing address phone:** (916) 786-5908
- **Mailing address fax:** (916) 786-8958

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | CA | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 03/11/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CS7519 | MEDICARE RAILROAD | GA |