Basic Information
| Provider Information | |||||||||
| NPI: | 1629119102 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAPP | ||||||||
| FirstName: | FELICIA | ||||||||
| MiddleName: | ANNTONETTE | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10470 OLD PLACERVILLE RD | ||||||||
| Address2: | |||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958272528 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9168546666 | ||||||||
| FaxNumber: | 9168546864 | ||||||||
| Practice Location | |||||||||
| Address1: | 400 34TH ST | ||||||||
| Address2: | |||||||||
| City: | OAKLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 946092816 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5108696883 | ||||||||
| FaxNumber: | 5108696888 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/09/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | A97401 | CA | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.