SACRAMENTO RADIOLOGY MEDICAL GROUP, INC. (NPI# 1679740526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679740526 |
| Entity Type | Organization |
| Organization Name | SACRAMENTO RADIOLOGY MEDICAL GROUP, INC. |
| Practice Address |
6660 Coyle Ave Suite 200 Carmichael CA 95608-6335 |
| Mailing Address |
Po Box 276010 Sacramento CA 95827-6010 |
| Practice Telephone | 9169651913 |
| Practice Fax Number | 9168631218 |
| 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 | GR0011373 | 01 |
| BLUE SHIELD | ZZZ17568Z | 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 |
| 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 |
| 1386811230 | Sacramento Radiology Medical Group, Inc. | Radiology | 2110 Professional Dr, Suite 190, Roseville, CA 95661-3752 | 2008-05-09 |
| Street Address |
6660 COYLE AVE SUITE 200 |
| City | CARMICHAEL |
| State | CA |
| Zip Code | 95608-6335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821081324 | Stefanie Shore Barber | Dentist | 6660 Coyle Ave, Suite 240, Carmichael, CA 95608-6335 | 2005-08-30 |
| 1053627612 | Dignity Health Medical Foundation | Clinic/Center | 6660 Coyle Ave, Suite 360, Carmichael, CA 95608-6335 | 2010-08-20 |
| 1972743532 | Radiological Associates of Sacramento Medical Group Inc | Urology | 6660 Coyle Ave, Carmichael, CA 95608-6335 | 2009-02-23 |
| 1043391667 | Elvert Franklyn Nelson | Orthopaedic Surgery | 6660 Coyle Ave, Suite 290, Carmichael, CA 95608-6335 | 2006-10-18 |
| 1013947332 | Dignity Health Medical Foundation | Clinic/Center | 6660 Coyle Ave, Suite 200, Carmichael, CA 95608-6335 | 2006-07-03 |
| 1497702971 | Issa Dakkak | Anesthesiology | 6660 Coyle Ave, Carmichael, CA 95608 | 2006-05-28 |
| 1538116181 | Metropolitan Anesthesia Consultants, Inc | Anesthesiology | 6660 Coyle Ave, Carmichael, CA 95608 | 2006-05-28 |
| 1629039177 | Howard Jack Homler | Internal Medicine | 6660 Coyle Ave, #250, Carmichael, CA 95608-6335 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776042 | Amari Home Health Care Inc. | Home Health | 6722 Fair Oaks Blvd., Suite 203, Carmichael, CA 95608 | 2020-09-29 |
| 1891333621 | Sonya Michelle Hernandez | Durable Medical Equipment & Medical Supplies | 5110 Ramona Vista Way, Carmichael, CA 95608 | 2019-12-11 |
| 1922640903 | Sacramento County Office of Education | Clinic/Center | Barrett Middle School/san Juan Unified School District, 4243 Barrett Road, School Counseling Office, Carmichael, CA 95608 | 2019-10-11 |
| 1558868927 | Gps Physician Group of California PC | Internal Medicine | American River Center, 3900 Garfield Ave, Carmichael, CA 95608 | 2018-04-11 |
| 1124534920 | Svitlana Plaschke | Nurse Practitioner | 5740 Windmill Way Ste 5, Carmichael, CA 95608 | 2017-12-17 |
| 1144770256 | Sacramento Foot and Ankle Center, Inc | Podiatrist | 5120 Manzanita Ave, Suite 100, Carmichael, CA 95608 | 2016-10-12 |
| 1457725202 | Sarah Beshay | Pharmacist | 4960 Heatherdale Ln, Carmichael, CA 95608 | 2015-11-17 |
| 1568835981 | Shivam Nand | Dentist | 2447 Mission Ave Ste B, Carmichael, CA 95608 | 2015-11-06 |
| 1487063434 | Alejandro Saropdas Mendoza | Pathology | Mercy San Juan Medical Center, 6501 Coyle Avenue, Carmichael, CA 95608 | 2014-08-04 |
| 1689014243 | Atkinson Youth Services, Inc. | Community/Behavioral Health | 4718 Engle Road, Carmichael, CA 95608 | 2013-06-27 |
| Find all providers in zip 95608 | ||||
| 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 |
|---|---|---|---|---|
| 1790728020 | Timothy David Lee | Radiology | 6305 Coyle Avenue, Carmichael, CA 95608-0438 | 2006-06-14 |
| 1649532557 | Justin Nguyen Winn | Radiology | 6305 Coyle Ave, Carmichael, CA 95608 | 2012-06-15 |
| 1467714782 | Abdul Malik Dredar | Radiology | 6511 Coyle Ave, Carmichael, CA 95608-0306 | 2012-06-12 |
| 1861777195 | Stephen Scott Henrichon | Radiology | 6511 Coyle Ave, Carmichael, CA 95608-0306 | 2011-10-18 |
| 1891082160 | Patrick Sanchez | Radiology | 6555 Coyle Ave Ste 180, Carmichael, CA 95608-0303 | 2011-07-07 |
| 1063709939 | William Scott Cragun | Radiology | 6305 Coyle Ave, Carmichael, CA 95608-0438 | 2011-06-29 |
| 1740424134 | Theodore Cosmo Marentis | Radiology | 6501 Coyle Ave, Nuclear Medicine, Carmichael, CA 95608-0306 | 2009-04-29 |
| 1124295662 | Sacramento Radiology Medical Group, Inc. | Radiology | 6620 Coyle Ave, Suite 107, Carmichael, CA 95608-6333 | 2008-05-14 |
| 1558538157 | Sacramento Radiology Medical Group, Inc. | Radiology | 6305 Coyle Ave, Carmichael, CA 95608-0438 | 2008-05-13 |
| 1710175278 | Raghav Raman | Radiology | 6555 Coyle Ave Ste 180, Carmichael, CA 95608-0303 | 2007-10-10 |
| Find all providers in CARMICHAEL | ||||
| City | CARMICHAEL |
| Zip Code | 95608 |
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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.