Individual
ANTHONY FRANCIS BELLOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2805 J STREET, SUITE 210, SACRAMENTO, CA 95816-4307
(916) 441-1973
(916) 441-1971
Mailing address
2805 J ST, SUITE 210, SACRAMENTO, CA 95816-4307
(916) 441-1973
(916) 441-1971
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G79283
CA
208VP0000X
Pain Medicine Physician
G79283
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G792830
BLUE SHIELD
CA
01
—
P00000560
RAILROAD MEDICARE
CA
Enumeration date
08/29/2006
Last updated
02/26/2009
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