| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1275039950 | BAHATYREVICH | NATALIYA | 2315 STOCKTON BLVD STE OP512 | SACRAMENTO | CA | 958172201 | ||
| 1881937449 | CHUA | CHARLESTON | 2315 STOCKTON BLVD RM OP512 | SACRAMENTO | CA | 958172201 | ||
| 1144546748 | PENNER | DAVID | L | 2315 STOCKTON BLVD | SACRAMENTO | CA | 958172201 | |
| 1700236163 | ZEIDERMAN | MATTHEW | 2315 STOCKTON BLVD | SACRAMENTO | CA | 958172201 |