Provider Demographics
NPI:1770574998
Name:SABATO, JAMES R (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:R
Last Name:SABATO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 12527111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC 0125270Medicare PIN
CAT04793Medicare UPIN