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

Greenhaven Family Practice, Inc

Organization Family Medicine Physician · NPI 1093137788

Greenhaven Family Practice, Inc provides Family Medicine Physician services in Sacramento, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
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

1102 Corporate Way Ste 170
Sacramento, CA 95831-3895
Phone: (916) 661-5336
Fax: (916) 382-4630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A8387 (CA)

Record details

NPI number1093137788
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scarlett Lu — Owner · (916) 661-5336
NPI enumeratedJanuary 14, 2014
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025
Mailing address1102 Corporate Way, Ste 170, Sacramento, CA 95831-3895

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