| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1144317462 | ELLIS | MARK | H | PO BOX 255668 | SACRAMENTO | CA | 958655668 | |
| 1386731602 | GREEN | DANIEL | E | PO BOX 255668 | SACRAMENTO | CA | 958655668 | |
| 1558459313 | MOSHIER | MICHAEL | D | 10470 OLD PLACERVILLE RD | SACRAMENTO | CA | 958272539 | |
| 1003996950 | SUSSKIND | MARK | R | 10470 OLD PLACERVILLE RD | SACRAMENTO | CA | 958272539 |