SACRAMENTO RADIOLOGY MEDICAL GROUP, INC. (NPI# 1386811230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386811230 |
| Entity Type | Organization |
| Organization Name | SACRAMENTO RADIOLOGY MEDICAL GROUP, INC. |
| Practice Address |
2110 Professional Dr Suite 190 Roseville CA 95661-3752 |
| Mailing Address |
Po Box 276010 Sacramento CA 95827-6010 |
| Practice Telephone | 9167870404 |
| Practice Fax Number | 9167870434 |
| 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 | GR001137J | 01 |
| BLUE SHIELD | ZZZ17569Z | 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 |
| 1013184969 | Sacramento Radiology Medical Group, Inc. | Radiology | 1635 Creekside Dr, Suite 100, Folsom, CA 95630-3830 | 2008-05-09 |
| 1689841538 | Sacramento Radiology Medical Group, Inc. | Radiology | 7601 Hospital Dr, Suite 100, Sacramento, CA 95823-5408 | 2008-05-09 |
| Street Address |
2110 PROFESSIONAL DR SUITE 190 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-3752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861466971 | Zaradhe Yach | Nurse Practitioner | 2110 Professional Dr, Suite 120, Roseville, CA 95661-3752 | 2006-02-15 |
| 1396195483 | Shikha Rathi- Raythatha | Dentist | 2110 Professional Dr, Suite 101, Roseville, CA 95661-3752 | 2016-06-20 |
| 1740693894 | Karla Lu Houskeeper | Nurse Practitioner | 2110 Professional Dr, St 120, Roseville, CA 95661-3752 | 2014-06-06 |
| 1891074423 | Neda Raheen | Physician Assistant | 2110 Professional Dr, Suite 120, Roseville, CA 95661-3752 | 2011-08-13 |
| 1982995825 | Namrita Gogia | Internal Medicine | 2110 Professional Dr, Suite 120, Roseville, CA 95661-3752 | 2011-04-26 |
| 1013247238 | David Zuccolotto | Psychologist | 2110 Professional Dr, Suite 120, Roseville, CA 95661-3752 | 2010-01-11 |
| 1912031477 | Dignity Health Medical Foundation | Clinic/Center | 2110 Professional Dr, Suite 120, Roseville, CA 95661-3752 | 2007-03-15 |
| 1861593402 | Kenneth L. Corbin | Family Medicine | 2110 Professional Dr, Suite 120, Roseville, CA 95661-3752 | 2006-09-26 |
| 1538266499 | Siamak Okhovat | Dentist | 2110 Professional Dr, Suite 115, Roseville, CA 95661-3752 | 2006-09-20 |
| 1982716205 | Terri E. Bigler | Internal Medicine | 2110 Professional Dr, Suite 120, Roseville, CA 95661-3752 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760856934 | Modesto Radiological Medical Group, Inc | Radiology | 2132 Lysander Way, Roseville, CA 95661-3220 | 2015-11-25 |
| 1407226582 | Keith W. Johnson | Radiology | 450 Bayview Dr, Roseville, MN 55113-6907 | 2015-10-01 |
| 1497180772 | Mw Healh Associate Inc | Radiology | 901 Sunrise Ave Ste A22, Roseville, CA 95661-4558 | 2013-09-05 |
| 1962727552 | Yauk Kaung Lee | Radiology | 1380 Lead Hill Blvd Ste 100, Roseville, CA 95661-2941 | 2010-04-07 |
| 1932426004 | Veena R Iyer | Radiology | 2355 Hwy 36 W., Ste. 100, Roseville, MN 55113 | 2010-04-28 |
| 1750526083 | Radiological Associates of Sacramento Medical Group Inc | Radiology | 5 Medical Plaza Dr, 130, Roseville, CA 95661-2865 | 2008-12-16 |
| 1932397478 | Sentinel Health Staffing | Radiology | 18263 E 10 Mile Rd, Roseville, MI 48066-5805 | 2007-10-10 |
| 1821020017 | Roland D Demarco | Radiology | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902116 | Vesta Telemedicine Solutions, Pllc | Radiology | 833 Americana Way Unit 251, Glendale, CA 91210-1538 | 2020-11-04 |
| 1558960161 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38209 47th St E Ste D, Palmdale, CA 93552-3113 | 2020-10-23 |
| 1003415613 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38925 Trade Center Dr Unit E, Palmdale, CA 93551-3655 | 2020-10-23 |
| 1083213151 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 44105 15th St W Ste 100, Lancaster, CA 93534-4090 | 2020-10-20 |
| 1750980967 | Centrelake Medical Group Inc | Radiology | 430 W Stetson Ave, Hemet, CA 92543-7328 | 2020-10-19 |
| 1538775994 | Richard J. Moran | Radiology | 230 S Main St Ste 101, Orange, CA 92868-3851 | 2020-09-21 |
| 1417567710 | Family Medical Diagnostics Inc | Radiology | 19231 Victory Blvd Ste 356, Reseda, CA 91335-6308 | 2020-08-03 |
| 1396365011 | Prodiagnose Inc | Radiology | 7345 Topanga Canyon Blvd # 210, Canoga Park, CA 91303-1244 | 2020-04-22 |
| 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 | ||||
Please comment or provide details below to improve the information on SACRAMENTO RADIOLOGY 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.