San Lucas Pediatric Clinic, Inc.
NPI 1073870283 · Pediatrics Physician · Sacramento, CA
San Lucas Pediatric Clinic, Inc. is a Pediatrics Physician organization in Sacramento, CA (NPI 1073870283).
Provider details
- NPI number
- 1073870283
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Manuel Arevalo, President(916) 575-9090
- License
- A62749 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 7807 Laguna Blvd Ste 440Elk Grove, CA 95758-7953Phone: (916) 575-9090Fax: (916) 575-9099
Registry dates
- Enumerated
- 2012-04-12
- Last updated
- 2026-02-02
- Certified
- 2026-02-02
Frequently asked questions
- What is San Lucas Pediatric Clinic, Inc.'s NPI number?
- San Lucas Pediatric Clinic, Inc.'s National Provider Identifier (NPI) is 1073870283, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Lucas Pediatric Clinic, Inc.?
- San Lucas Pediatric Clinic, Inc. is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is San Lucas Pediatric Clinic, Inc. located?
- San Lucas Pediatric Clinic, Inc.'s practice location on file with NPPES is 4100 E Commerce Way Ste 100, Sacramento, CA 95834-9501.
- What is San Lucas Pediatric Clinic, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for San Lucas Pediatric Clinic, Inc. is (916) 575-9090.
- Who is the authorized official for San Lucas Pediatric Clinic, Inc.?
- The authorized official listed on San Lucas Pediatric Clinic, Inc.'s NPPES record is Manuel Arevalo, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Lucas Pediatric Clinic, Inc.'s NPI active?
- Yes — San Lucas Pediatric Clinic, Inc.'s NPI (1073870283) is active in the NPPES registry as of the last update on 2026-02-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.