SAN LUCAS PEDIATRIC CLINIC, INC. – NPI #1073870283
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Health Care Provider Taxonomy Code for Pediatrics

SAN LUCAS PEDIATRIC CLINIC, INC. is a provider located in SACRAMENTO, CA. NPPES has assigned the NPI number 1073870283 to SAN LUCAS PEDIATRIC CLINIC, INC. on April 12, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was last updated on Feb 02, 2026. 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 SAN LUCAS PEDIATRIC CLINIC, INC. below.

NPI Profile for
SAN LUCAS PEDIATRIC CLINIC, INC.

NPI Number
1073870283
Enumeration Date

(more than 14 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
SAN LUCAS PEDIATRIC CLINIC, INC.
Primary location
4100 E COMMERCE WAY STE 100
SACRAMENTO, CA 95834-9501
Phone: (916) 575-9090 Fax: (916) 575-9099
1 Other location(s):
7807 Laguna Blvd Ste 440
Elk Grove, CA 95758-7953
Phone: (916) 575-9090
Fax: (916) 575-9099
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MANUEL AREVALO
PRESIDENT
Phone: (916) 575-9090
Updated
Certification Date
Feb 02, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
208000000X
- Pediatrics (Primary)		 CA A62749

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.