SACRAMENTO MEDICAL GROUP (NPI# 1275805277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275805277 |
| Entity Type | Organization |
| Organization Name | SACRAMENTO MEDICAL GROUP |
| Practice Address |
2708 Mercantile Dr. Rancho Cordova CA 95742-0959 |
| Mailing Address |
15 Business Park Way Ste 111 Sacramento CA 95828-0959 |
| Practice Telephone | 9163876929 |
| Practice Fax Number | 9163876977 |
| Mailing Telephone | 9163876929 |
| Mailing Fax Number | 9163876977 |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-02-07 |
| Authorized Official Name | DAVID E ROOT (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9163876929 |
| Authorized Official Credential | M.D., M.P.H. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
2708 MERCANTILE DR. |
| City | RANCHO CORDOVA |
| State | CA |
| Zip Code | 95742-0959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881966273 | Trevor Nabholz | Chiropractor | 2708 Mercantile Dr., Rancho Cordova, CA 95742 | 2012-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629597265 | Christopher Michael Colbert Sr. | Counselor | 2025 Aerojet, Rancho Cordova, CA 95742 | 2017-09-14 |
| 1588185516 | Bautista Dental Corporation | Dentist | 4022 Sunrise Blvd,., Ste 160, Rancho Cordova, CA 95742 | 2017-06-29 |
| 1770011561 | Fatmeh A Jobay | Nurse Practitioner | 4040 Sunrise Blvd Ste 130, Rancho Cordova, CA 95742 | 2017-05-24 |
| 1518241470 | Edward Yuan | Pharmacist | 4050 Sunrise Blvd., Rancho Cordova, CA 95742 | 2011-10-10 |
| 1356538920 | Shannon Fistner | Counselor | 2025 Aerojet Rd, Rancho Cordova, CA 95742 | 2007-09-27 |
| 1679615348 | Owen Y Hsu | Optometrist | 11260 White Rock Road, Rancho Cordova, CA 95742 | 2007-02-12 |
| 1235249830 | Costco Wholesale Corporation | Pharmacy | 11260 White Rock Rd, Rancho Cordova, CA 95742 | 2006-08-30 |
| 1255617882 | Ani M Verrios | Pharmacist | 4050 Sunrise Blvd., Rancho Cordova, CA 95742 | 2011-10-27 |
| 1124302088 | Daniela Sam | Pharmacist | 4050 Sunrise Blvd, Rancho Cordova, CA 95742 | 2011-10-10 |
| 1659306801 | Maurine Eve Manning | Physical Therapist | 2880 Sunrise Blvd Ste 218, Rancho Cordova, CA 95742-6101 | 2006-07-12 |
| Find all providers in zip 95742 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992986 | Lindsay Fry | General Practice | 375 Bonair St Apt 1, La Jolla, CA 92037-5911 | 2020-11-04 |
| 1255939674 | Kiira Health Practice Ca PC | General Practice | 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490 | 2020-10-16 |
| 1851999627 | Golden State Medical Center PC | General Practice | 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 | 2020-10-14 |
| 1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | RANCHO CORDOVA |
| Zip Code | 95742 |
Please comment or provide details below to improve the information on SACRAMENTO MEDICAL GROUP.
| 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.