SACRAMENTO RADIOLOGY MEDICAL GROUP, INC. (NPI# 1013184969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013184969 |
| Entity Type | Organization |
| Organization Name | SACRAMENTO RADIOLOGY MEDICAL GROUP, INC. |
| Practice Address |
1635 Creekside Dr Suite 100 Folsom CA 95630-3830 |
| Mailing Address |
Po Box 276010 Sacramento CA 95827-6010 |
| Practice Telephone | 9169841866 |
| Practice Fax Number | 9169841848 |
| Mailing Telephone | 9163634040 |
| Mailing Fax Number | 9163636715 |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2008-05-09 |
| Authorized Official Name | MS. SIGRID OWYANG (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9163634040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | GR001137Z | 01 |
| BLUE SHIELD | ZZZ26916Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699946574 | Sacramento Radiology Medical Group, Inc. | Clinic/Center | 3291 Ramos Cir, Sacramento, CA 95827-2516 | 2008-03-18 |
| 1124295662 | Sacramento Radiology Medical Group, Inc. | Radiology | 6620 Coyle Ave, Suite 107, Carmichael, CA 95608-6333 | 2008-05-14 |
| 1275700874 | Sacramento Radiology Medical Group, Inc. | General Acute Care Hospital | 4001 J Street, Mercy General Hospital, Sacramento, CA 95819 | 2008-05-13 |
| 1558538157 | Sacramento Radiology Medical Group, Inc. | Radiology | 6305 Coyle Ave, Carmichael, CA 95608-0438 | 2008-05-13 |
| 1457528051 | Sacramento Radiology Medical Group, Inc. | General Acute Care Hospital | 1650 Creekside Drive, Mercy Hospital of Folsom, Folsom, CA 95630 | 2008-05-13 |
| 1366619967 | Sacramento Radiology Medical Group, Inc. | General Acute Care Hospital | 7500 Hospital Drive, Methodist Hospital, Sacramento, CA 95823 | 2008-05-13 |
| 1679740526 | Sacramento Radiology Medical Group, Inc. | Radiology | 6660 Coyle Ave, Suite 200, Carmichael, CA 95608-6335 | 2008-05-09 |
| 1689841538 | Sacramento Radiology Medical Group, Inc. | Radiology | 7601 Hospital Dr, Suite 100, Sacramento, CA 95823-5408 | 2008-05-09 |
| 1386811230 | Sacramento Radiology Medical Group, Inc. | Radiology | 2110 Professional Dr, Suite 190, Roseville, CA 95661-3752 | 2008-05-09 |
| Street Address |
1635 CREEKSIDE DR SUITE 100 |
| City | FOLSOM |
| State | CA |
| Zip Code | 95630-3830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164422614 | Rehabilitation & Occupational Consultants | Physical Therapist | 1635 Creekside Dr, Ste 101, Folsom, CA 95630-3830 | 2005-07-27 |
| 1952788507 | Elizabeth Krauss | Physical Therapist | 1635 Creekside Dr, Suite 101, Folsom, CA 95630-3830 | 2015-05-04 |
| 1588938252 | Larissa Renee Raun | Physical Therapist | 1635 Creekside Dr, 101, Folsom, CA 95630-3830 | 2012-02-28 |
| 1235284662 | Cameron Gary Fife | Dentist | 1635 Creekside Dr, Suite 103, Folsom, CA 95630-3830 | 2007-01-24 |
| 1710032156 | Troy Edward Hull | Dentist | 1635 Creekside Dr, Suite 103, Folsom, CA 95630-3830 | 2007-01-24 |
| 1982627949 | Rehabilitation and Occupational Consultants | Physical Therapist | 1635 Creekside Dr, Suite 101, Folsom, CA 95630-3830 | 2006-07-25 |
| 1033131560 | Matthew Alan Smith | Physical Therapist | 1635 Creekside Dr, Suite 101, Folsom, CA 95630-3830 | 2006-07-24 |
| 1477572592 | Richard M. A. Rosenberg | Physical Therapist | 1635 Creekside Dr, Suite 101, Folsom, CA 95630-3830 | 2006-07-19 |
| 1245260553 | Dignity Health Medical Foundation | Clinic/Center | 1635 Creekside Dr, Folsom, CA 95630-3830 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724657 | Corrections and Rehabilitation | Pharmacy | 570 E. Natoma Street, Folsom, CA 95630 | 2020-03-12 |
| 1174153027 | Haley Harmon | Nurse Practitioner | 1621 Creekside Dr. Creekside Ob/gyn, Ste. 102, Folsom, CA 95630 | 2020-01-20 |
| 1932741469 | Ruma Ramani Jolly | Speech-Language Pathologist | 250 Mc Adoo Drive, Willow Springs, Apt.911, Folsom, CA 95630 | 2019-10-16 |
| 1750844767 | Sharon Munyaanyi | Registered Nurse | 1600 Creekside Dr Ste 3700, Folsom, CA 95630 | 2019-04-08 |
| 1104308345 | Stephanie Whatley | Optometrist | 2390 E Bidwell St Ste 400, Folsom, CA 95630 | 2018-09-04 |
| 1447746607 | Heather Michellee Thrapp | Behavioral Analyst | 125 Oak Ravine Way, Folsom, CA 95630 | 2018-07-10 |
| 1700370483 | Loretta May Delgado | Behavior Technician | 322 Crow Cany, Folsom, CA 95630 | 2018-06-18 |
| 1417448176 | Sound Support Inc. | Hearing Instrument Specialist | 610 East Bidwell Street, Suite A, Folsom, CA 95630 | 2018-05-29 |
| 1548750144 | Don Peterson Md, Sugical Assisting | General Practice | Mercy Hospital of Folsom (dignity Health Folsom), 1650 Creekside Dr., Folsom, CA 95630 | 2018-05-18 |
| 1245733328 | American Heritage Hospice Inc | Hospice Care, Community Based | 1837 Iron Point Rd Ste 180, Folsom, CA 95630 | 2018-03-14 |
| Find all providers in zip 95630 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
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| 1548892276 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 13700 Marina Pointe Dr Unit 430, Marina Del Rey, CA 90292-9277 | 2020-02-11 |
| 1710518535 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 107, Redlands, CA 92373-4230 | 2020-01-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.