Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blossom Ridge Medical, Inc

Organization Community Health Clinic/Center · NPI 1679117972

Blossom Ridge Medical, Inc is a Community Health Clinic/Center in Sacramento, California. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2554 Millcreek Dr
Sacramento, CA 95833-3678
Phone: (800) 991-6147
Fax: (916) 382-7683
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Clinic/Center (primary) Taxonomy 261QC1500X

Record details

NPI number1679117972
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gerald Agustin — Ceo · (800) 991-6147
NPI enumeratedOctober 30, 2019
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026
Mailing address2554 Millcreek Dr, Sacramento, CA 95833-3678

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