PROYOUTH PEDIATRIC HEALTH & WELLNESS PC – NPI #1568944346
Clinic/Center

PROYOUTH PEDIATRIC HEALTH & WELLNESS PC is an AHC clinic located in ROCKLIN, CA. NPPES has assigned the NPI number 1568944346 to PROYOUTH PEDIATRIC HEALTH & WELLNESS PC on August 29, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROYOUTH PEDIATRIC HEALTH & WELLNESS PC below.

NPI Profile for
PROYOUTH PEDIATRIC HEALTH & WELLNESS PC

NPI Number
1568944346
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROYOUTH PEDIATRIC HEALTH & WELLNESS PC
Primary location
6815 FIVE STAR BLVD STE 100
ROCKLIN, CA 95677-2691
Phone: (916) 626-3060 Fax: (916) 626-3063
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SUNNIE SKILES
MD
Phone: (916) 626-3060
Updated
Identifiers

Identifiers for PROYOUTH PEDIATRIC HEALTH & WELLNESS PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAA44802
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)
CA G66133

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.