ProviderBusinessMailingAddressFaxNumber = '9168751001'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1285056101 | BETTENCOURT | JEFFREY | | | 2150 STOCKTON BLVD | SACRAMENTO | CA | 958171337 |
| 1316058613 | BOGGS | DAVID | ALLEN | | 2150 STOCKTON BLVD | SACRAMENTO | CA | 958171337 |
| 1528166576 | DINH | TINH | T | | 2150 STOCKTON BLVD | SACRAMENTO | CA | 958171337 |
| 1164861142 | EGBERUARE | GABRIEL | EHI | | 2150 STOCKTON BLVD | SACRAMENTO | CA | 958171337 |
| 1326146564 | ELMORE | RICHARD | ARTHUR | | 2150 STOCKTON BLVD | SACRAMENTO | CA | 958171337 |
| 1134568223 | GARCIA | ONESIMO | | | 8611 ELK RIDGE WAY | ELK GROVE | CA | 956242259 |
| 1982866117 | GLOVER | BILLIE | JEAN | | 2150 STOCKTON BLVD | SACRAMENTO | CA | 958171337 |
| 1831515584 | LAPERLE | JAMES | JOSEPH | | 2150 STOCKTON BLVD | SACRAMENTO | CA | 958171337 |
| 1790126589 | MEHTANI | ANITA | | | 2150 STOCKTON BLVD | SACRAMENTO | CA | 958171337 |
| 1891136594 | OFOSE | PATRICK | E | | 2150 STOCKTON BLVD | SACRAMENTO | CA | 958171337 |
| 1225479371 | PHAN | KENNETH | VAN | | 2150 STOCKTON BLVD | SACRAMENTO | CA | 958171337 |
| 1386742674 | SALYERS | CATHERINE | | | 2150 STOCKTON BLVD | SACRAMENTO | CA | 958171337 |
| 1538509583 | SHEFFIELD | LAURA | EVERETT | | 2150 STOCKTON BLVD | SACRAMENTO | CA | 958171337 |
| 1235246745 | WELLMAN | STEPHEN | | | 2150 STOCKTON BLVD | SACRAMENTO | CA | 958171337 |
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