| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1215024591 | COLLINS | HENRY | H | 10470 OLD PLACERVILLE RD | SACRAMENTO | CA | 958272539 | |
| 1770670085 | COONEY | LAWRENCE | H | 10470 OLD PLACERVILLE RD | SACRAMENTO | CA | 958272539 | |
| 1578650883 | DERDZINSKA | ANNA | B | 10470 OLD PLACERVILLE RD | SACRAMENTO | CA | 958272539 | |
| 1700974565 | NADRA | CHARBEL | J | 10470 OLD PLACERVILLE RD STE 100 | SACRAMENTO | CA | 958272539 |