CAPITOL UROLOGY MEDICAL GROUP INC (NPI# 1053379057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053379057 |
| Entity Type | Organization |
| Organization Name | CAPITOL UROLOGY MEDICAL GROUP INC |
| Practice Address |
3939 J Street Suite 250 Sacramento CA 95819 |
| Practice Telephone | 9167336233 |
| Practice Fax Number | 9167336230 |
| Mailing Telephone | 9167336233 |
| Mailing Fax Number | 9167336230 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | NANCY L FEUTZ (PRACTICE MANAGER) |
| Authorized Official Telephone | 9167336238 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
G12170 | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245249226 | Capitol Urology Medical Group Inc | Clinic/Center | 500 University Ave, Suite 200, Sacramento, CA 95825-6504 | 2006-08-07 |
| 1306867213 | Capitol Urology Medical Group Inc | Clinic/Center | 1561 Creekside Dr, Suite 170, Folsom, CA 95630 | 2006-07-23 |
| 1588685499 | Capitol Urology Medical Group Inc | Clinic/Center | 6600 Mercy Ct, Suite 150, Fair Oaks, CA 95628 | 2006-07-23 |
| Street Address |
3939 J STREET SUITE 250 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710107123 | Tivakaran and Chow Gastroenterology | Internal Medicine | 3939 J Street, 300, Sacramento, CA 95819 | 2007-04-26 |
| 1912040213 | Gerald Epstein | Medical Genetics | 3939 J Street, Suite 270, Sacramento, CA 95816 | 2007-02-15 |
| 1538231972 | Pau K Fong Md Inc | Internal Medicine | 3939 J Street, Suite #350, Sacramento, CA 95819-3671 | 2006-11-14 |
| 1306921580 | Thomas Stevenson Pattison | Physical Medicine & Rehabilitation | 3939 J Street, Suite 200, Sacramento, CA 95819 | 2006-10-26 |
| 1518063981 | Pau Kee Fong | Internal Medicine | 3939 J Street, Suite 350, Sacramento, CA 95819-3671 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808076 | Ashley Dumont | Naturopath | Zen Dermatology, 4801 J St, Sacramento, CA 95819 | 2020-10-12 |
| 1053893347 | Sacramento Foot and Ankle Center, Inc. | Podiatrist | 5030 J St Ste 300, Sacramento, CA 95819 | 2018-09-04 |
| 1558881557 | Herrfeldt Business Ventures Inc | In Home Supportive Care | 5363 H Street, Suite A, Sacramento, CA 95819 | 2017-06-21 |
| 1205288222 | Jerad Eugene Morris | Registered Nurse | 3939 J Street, Suite 310, Sacramento Anesthesia Medical Group, Sacramento, CA 95819 | 2016-07-02 |
| 1114306289 | Sacramento Skilled Nursing and Long Term Care Medical Group Inc. | Internal Medicine | 1133 42 Nd Street, Sacramento, CA 95819 | 2015-05-22 |
| 1366708901 | Beverly Lynne Meier-hanaway | Nurse Practitioner | 5151 F Street, Sutter Memorial Hospital, Sacramento, CA 95819 | 2012-04-09 |
| 1225319015 | Kaitlin J Nicoletti | Anesthesiology | 3939 J Street Suite 310, Sacramento, CA 95819 | 2011-09-07 |
| 1255654570 | Jamal Rahman Rahimi | Emergency Medicine | 4870 T St., Sacramento, CA 95819 | 2010-03-02 |
| 1265605273 | Earl Willis Weyers | Anesthesiology | 3939 J St Ste 310, Sacramento, CA 95819 | 2008-04-10 |
| 1376744599 | Jennifer E Keller | Surgery | 5725 F Street, Suite 3, Sacramento, CA 95819 | 2007-05-29 |
| Find all providers in zip 95819 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497396444 | J.a. Ferranti, Md Psychiatric Services | Clinic/Center | 300 University Ave Ste 240, Sacramento, CA 95825-6518 | 2019-10-01 |
| 1629426101 | Michael W. Chu, Md, Inc. | Clinic/Center | 2901 K St Ste 209, Sacramento, CA 95816-5124 | 2016-05-25 |
| 1376767665 | University of California Davis Medical Center | Clinic/Center | 2521 Stockton Blvd Ste 3110, Sacramento, CA 95817-2207 | 2007-04-11 |
| 1306489687 | James Longoria Md Inc | Clinic/Center | 2800 L St Ste 200, Sacramento, CA 95816-5616 | 2019-10-19 |
| 1417456831 | Kia Yang | Clinic/Center | 225 30th St Ste 311, Sacramento, CA 95816-3359 | 2018-02-12 |
| 1912300278 | Jrs Medical Consulting, Inc. | Clinic/Center | 4354 Auburn Blvd, Sacramento, CA 95841-4107 | 2014-10-01 |
| 1912312448 | Jeffrey L. Young, Md, Inc | Clinic/Center | 5525 Assembly Ct, Ste A, Sacramento, CA 95823-2634 | 2014-06-23 |
| 1417369943 | Robert E. Sullivan, Md | Clinic/Center | 4441 Auburn Blvd, Suite P, Sacramento, CA 95841-4139 | 2014-06-02 |
| 1982958351 | Sacramento Pediatric Gastroenterology,inc. | Clinic/Center | 5767 Greenback Ln, Suite 200, Sacramento, CA 95841-2013 | 2012-11-06 |
| 1134490493 | Med 9 Clinic | Clinic/Center | 1936 Stockton Blvd, Sacramento, CA 95816-6638 | 2012-01-18 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95819 |
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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.