Individual
CHARLES C CAPORICCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
470 PLUMAS BLVD, SUITE 201, YUBA CITY, CA 95991-5077
(530) 749-3463
(530) 749-3479
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13364
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00779822
RAILROAD MEDICARE
—
Enumeration date
07/08/2006
Last updated
03/07/2023
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