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

San Lucas Pediatric Clinic, Inc

Organization Pediatrics Physician · NPI 1073870283

San Lucas Pediatric Clinic, Inc is a Pediatrics Physician in Sacramento, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2012
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

4100 E Commerce Way Ste 100
Sacramento, CA 95834-9501
Phone: (916) 575-9090
Fax: (916) 575-9099
Show map & directions

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

Additional practice locations (1)

  • 7807 Laguna Blvd Ste 440, Elk Grove, CA 95758-7953 — (916) 575-9090

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A62749 (CA)

Record details

NPI number1073870283
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manuel Arevalo — President · (916) 575-9090
NPI enumeratedApril 12, 2012
Last updated in NPPESFebruary 2, 2026
Certification dateFebruary 2, 2026
Mailing address4100 E Commerce Way Ste 100, Sacramento, CA 95834-9501

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