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

Nutrition Based Integrative Medicine

Organization Adult Medicine Physician · NPI 1760738413

Nutrition Based Integrative Medicine is an Adult Medicine Physician in Sacramento, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
Specialties on file
2

Practice location Address checks out

758 University Ave
Sacramento, CA 95825-6703
Phone: (916) 564-3300
Fax: (916) 927-1831
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence 20A10508 (CA)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence 20A10508 (CA)

Record details

NPI number1760738413
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wayne Daniel — Owner · (916) 564-3300
NPI enumeratedJuly 31, 2012
Last updated in NPPESJuly 31, 2012
Mailing address9115 Yellow Flower Pl, Fair Oaks, CA 95628-6563

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