Rebecca Sprague
Procedural Dermatology Internist - Cardiovascular Disease
3835 J Street
Sacramento
, California 95816-5520
Rebecca Sprague
Procedural Dermatology Internist - Cardiovascular Disease
3835 J Street
Sacramento
, California 95816-5520
(916) 340-0621
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About
Features
Specialties
- Procedural Dermatology
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Rebecca Sprague
- 3835 J Street
- Sacramento, CA
- Zip : 95816-5520
- Fax : (916) 340-0621
- Phone : (916) 456-0400
Second Address
- Rebecca Sprague
- 3835 J Street
- Sacramento, CA
- Zip : 95816-5520
- Fax : (916) 340-0621
- Phone : (916) 456-0400
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207NS0135X | Procedural Dermatology | 11828 | CA |
| Y | 207RC0000X | Internist - Cardiovascular Disease | NP11828 | CA |
National Provider Identifier
| NPI | 1306912464 |
|---|---|
| Provider Name | Rebecca Sprague |
| First Address | Sacramento, CA 95816-5520 |
| Second Address | Sacramento, CA 95816-5520 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/11/2006 |
| Last Update Date | 30/01/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| GR0068230 | (05) | CA |
| GR0068231 | (05) | CA |
| GR0068232 | (05) | CA |
| GR0068233 | (05) | CA |
| GR0068235 | (05) | CA |
| GR006823B | (05) | CA |
| P23069 | (02) | |
| RN314798 | (05) | CA |
| ZZZ47673Z | BLUE SHIELD (01) | CA |
| ZZZ47675Z | BLUE SHIELD (01) | CA |
| ZZZ47676Z | BLUE SHIELD (01) | CA |
| ZZZ62306Z | BLUE SHIELD (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.