Provider Demographics
NPI:1447471685
Name:SABATO CHIROPRACTIC CORPORATION
Entity type:Organization
Organization Name:SABATO CHIROPRACTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMS
Authorized Official - Middle Name:R
Authorized Official - Last Name:SABATO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:916-208-1793
Mailing Address - Street 1:11344 COLOMA RD
Mailing Address - Street 2:SUITE 355
Mailing Address - City:GOLD RIVER
Mailing Address - State:CA
Mailing Address - Zip Code:95670-4457
Mailing Address - Country:US
Mailing Address - Phone:916-208-1793
Mailing Address - Fax:916-631-0085
Practice Address - Street 1:11344 COLOMA RD
Practice Address - Street 2:SUITE 355
Practice Address - City:GOLD RIVER
Practice Address - State:CA
Practice Address - Zip Code:95670-4457
Practice Address - Country:US
Practice Address - Phone:916-208-1793
Practice Address - Fax:916-631-0085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12527111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAT04793Medicare UPIN
CADC 0125271Medicare PIN