Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 10483123-1205 | UT |
Y | 207QA0401X | Family Doctor - Addiction Medicine | A168974 | CA |
NPI | 1053774273 |
---|---|
Provider Name | Dr. Rachel Caspar |
First Address | Sacramento, CA 95811-5216 |
Second Address | Sacramento, CA 95811-5216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2016 |
Last Update Date | 12/03/2021 |