# SACRAMENTO MEDICAL GROUP

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

## Provider details

- **NPI number:** 1275805277
- **Authorized official:** DAVID E ROOT M.D., M.P.H. (MEDICAL DIRECTOR)
- **Authorized official phone:** (916) 387-6929

## Contact information

- **Practice address:** 2708 MERCANTILE DR., RANCHO CORDOVA, CA 95742-0959
- **Practice address phone:** (916) 387-6929
- **Practice address fax:** (916) 387-6977
- **Mailing address:** 15 BUSINESS PARK WAY STE 111, SACRAMENTO, CA 95828-0959
- **Mailing address phone:** (916) 387-6929
- **Mailing address fax:** (916) 387-6977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/07/2012
- **Last updated:** 02/07/2012