OrganizationActive
Blossom Ridge Medical, Inc.
NPI 1679117972 · Community Health Clinic/Center · Sacramento, CA
Provider details
- NPI number
- 1679117972
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gerald Agustin, Ceo(800) 991-6147
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2554 Millcreek Dr
Sacramento, CA 95833-3678
Phone: (800) 991-6147
Fax: (916) 382-7683
Approximate (ZIP-level) locationGet directions
Mailing address
2554 Millcreek Dr
Sacramento, CA 95833-3678
Registry dates
- Enumerated
- 2019-10-30
- Last updated
- 2026-03-23
- Certified
- 2026-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.