Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Shiree Fatch Medical Corporation

Organization Pediatrics Physician · NPI 1063209237

Shiree Fatch Medical Corporation provides Pediatrics Physician services in Roseville, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1650 Lead Hill Blvd Ste 400
Roseville, CA 95661-3072
Phone: (916) 783-0580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1063209237
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shiree Fatch — Owner · (916) 783-0580
NPI enumeratedApril 22, 2025
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025
Mailing address1650 Lead Hill Blvd Ste 400, Roseville, CA 95661-3072

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