| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1356372247 | BOYNTON | JASON | S | 10470 OLD PLACERVILLE RD | SACRAMENTO | CA | 958272539 | |
| 1033139928 | GABHART | MICHAEL | F | 10470 OLD PLACERVILLE RD | SACRAMENTO | CA | 958272539 | |
| 1275750747 | NGUYEN | AIDAN | N | 10470 OLD PLACERVILLE RD | SACRAMENTO | CA | 958272539 |