GREATER SACRAMENTO PEDIATRICS ASSOC INC (NPI# 1528196565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528196565 |
| Entity Type | Organization |
| Organization Name | GREATER SACRAMENTO PEDIATRICS ASSOC INC |
| Practice Address |
1301 Secret Ravine Pkwy Suite 140 Roseville CA 95661-3102 |
| Mailing Address |
6555 Coyle Ave Suite 310 Carmichael CA 95608-0302 |
| Practice Telephone | 9167883030 |
| Practice Fax Number | 9167880171 |
| Mailing Telephone | 9167883030 |
| Mailing Fax Number | 9167880171 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2013-02-23 |
| Authorized Official Name | MEHDI ARAB (PRESIDENT) |
| Authorized Official Telephone | 9169654612 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | GREATER SACRAMENTO PEDIATRICS ASSOC INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952439929 | Greater Sacramento Pediatrics Assoc Inc | Clinic/Center | 2345 El Camino Ave, Suite A, Sacramento, CA 95821-5633 | 2007-03-01 |
| 1144385915 | Greater Sacramento Pediatrics Assoc Inc | Pediatrics | 6555 Coyle Ave, Suite 310, Carmichael, CA 95608-0302 | 2006-12-22 |
| Street Address |
1301 SECRET RAVINE PKWY SUITE 140 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174509418 | Kavian Shahi | Neurological Surgery | 1301 Secret Ravine Pkwy, Suite 200, Roseville, CA 95661-3043 | 2005-12-19 |
| 1912446279 | Michael J Huang Md Inc | Internal Medicine | 1301 Secret Ravine Pkwy, Suite 240, Roseville, CA 95661-3102 | 2017-02-20 |
| 1801120035 | Emergency Neurosurgery Services Medical Group, Inc. | Emergency Medicine | 1301 Secret Ravine Pkwy, Ste 200, Roseville, CA 95661-3096 | 2009-09-21 |
| 1265664023 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 1301 Secret Ravine Pkwy, Suite 100, Roseville, CA 95661-3096 | 2009-08-12 |
| 1942474713 | Hamidreza Aliabadi | Neurological Surgery | 1301 Secret Ravine Pkwy, Ste 200, Roseville, CA 95661-3102 | 2008-04-14 |
| 1104963834 | Neurosurgical Trauma Services | Specialist | 1301 Secret Ravine Pkwy, Ste 200, Roseville, CA 95661-3096 | 2007-01-31 |
| 1366595464 | B Barry Chehrazi Md Inc | Neurological Surgery | 1301 Secret Ravine Pkwy, Suite 200, Roseville, CA 95661-3043 | 2007-01-19 |
| 1093894727 | Michael J. Huang | Internal Medicine | 1301 Secret Ravine Pkwy, Suite 240, Roseville, CA 95661-3102 | 2006-11-03 |
| 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 | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801266499 | Lt Proactive Care Clinic California, Pa | Clinic/Center | 1435 East Roseville Pkwy, Roseville, CA 95661 | 2015-09-25 |
| 1205205481 | Care Crest | Clinic/Center | 15365 Hill Ct, Roseville, MI 48066-3119 | 2015-09-17 |
| 1720325905 | Dennis Brooks Chiropractic Inc | Clinic/Center | 800 Douglas Blvd, Roseville, CA 95678-2711 | 2013-01-08 |
| 1174719306 | Pleasant Dental Pllc | Clinic/Center | 31515 Gratiot Ave, Roseville, MI 48066-4528 | 2007-09-20 |
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| 1376160580 | Beyond Practice, Inc. | Clinic/Center | 300 W Ocean Blvd Apt 6114, Long Beach, CA 90802-8029 | 2020-07-03 |
| 1205452315 | Affection Healthcare LLC | Clinic/Center | 1641 North Ripon Road, Ripon, CA 95366 | 2020-06-24 |
| 1467074963 | Onclick Healthcare Incorporated | Clinic/Center | 2625 Townsgate Rd Ste 330, Westlake Village, CA 91361-5749 | 2020-05-07 |
| 1811517832 | D.e. Garrison, D.o., Inc. | Clinic/Center | 3209 Esplanade Ste 120, Chico, CA 95973-0154 | 2020-04-20 |
| 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.