EAST SACRAMENTO PEDIATRIC MEDICAL GROUP INC (NPI# 1093353195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093353195 |
| Entity Type | Organization |
| Organization Name | EAST SACRAMENTO PEDIATRIC MEDICAL GROUP INC |
| Practice Address |
5030 J St Ste 301 Sacramento CA 95819-3800 |
| Practice Telephone | 9164518430 |
| Mailing Telephone | 9164518430 |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2019-12-19 |
| Authorized Official Name | DR. RAVINDER SINGH KHAIRA (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 9164518430 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1588600431 | 05 | |
| CA | 1811383490 | 05 | |
| CA | 1902842354 | 05 |
| Street Address |
5030 J ST STE 301 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95819-3800 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374904 | Ollie Health Medical Group, Inc. | Pediatrics | 9700 Business Park Dr Ste 406, Sacramento, CA 95827-1718 | 2020-04-14 |
| 1992206544 | Brittany Michelle Mcgregor | Pediatrics | 7237 E Southgate Dr Ste A, Sacramento, CA 95823-2637 | 2018-02-27 |
| 1528440708 | Adrienne Hoyt-austin | Pediatrics | 2103 Stockton Blvd, Sacramento, CA 95817-1354 | 2015-06-23 |
| 1043618689 | Zachary Chaffin | Pediatrics | 2516 Stockton Blvd Ste 216, Sacramento, CA 95817-2208 | 2014-12-14 |
| 1316363104 | Howard N Futerman | Pediatrics | 1618 Alhambra Blvd Unit 160546, Sacramento, CA 95816-7622 | 2014-03-17 |
| 1063755932 | Joan Manansala Villaflor | Pediatrics | 7501 Hospital Dr Ste 203, Sacramento, CA 95823-5405 | 2013-03-29 |
| 1972847747 | Lauren E Wilson | Pediatrics | 425 University Avenue, Suite 200, Sacramento, CA 95825 | 2012-11-19 |
| 1982954103 | Virgina Lee | Pediatrics | 1111 Exposition Blvd # 700, Suite 102, Sacramento, CA 95815-4314 | 2012-09-14 |
| 1508113390 | Garrett Hau Sheng | Pediatrics | 1625 Stockton Blvd Ste 106, Sacramento, CA 95816-7098 | 2012-08-10 |
| 1073870283 | San Lucas Pediatric, Inc. | Pediatrics | 4100 E Commerce Way Ste 100, Sacramento, CA 95834-9501 | 2012-04-12 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95819 |
Please comment or provide details below to improve the information on EAST SACRAMENTO PEDIATRIC MEDICAL GROUP INC.
| 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.