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

Sally Sample MD Inc

Organization Contractor · NPI 1881086072

Sally Sample MD Inc is a Contractor in Davis, California. Registered with an NPI since 2015.

In the registry since
2015
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

658 Bianco Ct
Davis, CA 95616-0608
Phone: (530) 220-0176
Show map & directions

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

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1881086072
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sally Sample — Medical Doctor · (530) 220-0176
NPI enumeratedFebruary 24, 2015
Last updated in NPPESFebruary 24, 2015
Mailing address658 Bianco Ct, Davis, CA 95616-0608