VITREO-RETINAL MEDICAL GROUP, INC. (NPI# 1821181850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821181850 |
| Entity Type | Organization |
| Organization Name | VITREO-RETINAL MEDICAL GROUP, INC. |
| Other Organization Name | RETINAL CONSULTANTS MEDICAL GROUP, INC. |
| Practice Address |
3939 J St Ste 106 Sacramento CA 95819-3631 |
| Mailing Address |
3939 J St Ste 104 Sacramento CA 95819-3631 |
| Practice Telephone | 9164544861 |
| Practice Fax Number | 9164543603 |
| Mailing Telephone | 9164546191 |
| Mailing Fax Number | 9164541036 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-04-04 |
| Authorized Official Name | MR. CHRIS MENTINK (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 9164535450 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | SAC. -DEPT. OF LABOR WA | 0199873 | 01 |
| CA | GR0030320 | 05 | |
| CA | BLUE SHIELD CA | ZZZ82386Z | 01 |
| CA | SAC. OFFICE -RAILROAD MED | CP5300 | 01 |
| Other Name | Type Code |
|---|---|
| Retinal Consultants Medical Group, Inc. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710212782 | Vitreo-retinal Medical Group, Inc. | Ophthalmology | 1548 N Tracy Blvd, Tracy, CA 95376-2903 | 2009-10-08 |
| 1497897532 | Vitreo-retinal Medical Group, Inc. | Ophthalmology | 2470 Hilborn Rd, Suite 150, Fairfield, CA 94534-1100 | 2007-02-13 |
| 1770646119 | Vitreo-retinal Medical Group, Inc. | Ophthalmology | 3939 J St Ste 104, Sacramento, CA 95819-3631 | 2006-12-18 |
| 1184717167 | Vitreo-retinal Medical Group, Inc. | Ophthalmology | 19 Ilahee Ln, Chico, CA 95973-7205 | 2006-10-02 |
| 1841383882 | Vitreo-retinal Medical Group, Inc. | Ophthalmology | 5775 Greenback Ln, Sacramento, CA 95841-2013 | 2006-10-02 |
| 1942842984 | Vitreo-retinal Medical Group, Inc. | Ophthalmology | 3 Parkcenter Dr, Ste 100, Sacramento, CA 95825-8340 | 2019-10-10 |
| 1215189360 | Vitreo-retinal Medical Group, Inc. | Ophthalmology | 300 Sierra College Dr, Suite 265, Grass Valley, CA 95945-5082 | 2008-10-21 |
| 1083707822 | Vitreo-retinal Medical Group, Inc. | Ophthalmology | 3555 Deer Park Dr, Suite 180, Stockton, CA 95219-2377 | 2006-10-02 |
| 1114010949 | Vitreo-retinal Medical Group, Inc. | Ophthalmology | 1401 Spanos Ct, Suite 223, Modesto, CA 95355-2810 | 2006-10-02 |
| Street Address |
3939 J ST STE 106 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95819-3631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548294101 | Tony Tsai | Ophthalmology | 3939 J St Ste 106, Sacramento, CA 95819-3631 | 2006-07-10 |
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871909515 | Mazen Choulakian | Ophthalmology | 4680 Y St, Ste 2400, Sacramento, CA 95817-2307 | 2014-07-02 |
| 1053680934 | Michael James Skala | Ophthalmology | 2878 Fulton Avenue, Sacramento, CA 95821 | 2011-12-21 |
| 1194015800 | Neil Kelly | Ophthalmology | 3575 Garden Hwy, Sacramento, CA 95834-9608 | 2011-04-14 |
| 1427217512 | Kathryn Camille Dimiceli | Ophthalmology | 83 Scripps Dr Ste 220, Sacramento, CA 95825-6383 | 2008-06-04 |
| 1770646119 | Vitreo-retinal Medical Group, Inc. | Ophthalmology | 3939 J St Ste 104, Sacramento, CA 95819-3631 | 2006-12-18 |
| 1730253287 | Sacramento Eye Consultants | Ophthalmology | 1515 River Park Dr, Suite 100, Sacramento, CA 95815-4610 | 2006-11-17 |
| 1316025141 | John F Hills | Ophthalmology | 1238 S St., Sacramento, CA 95811 | 2006-11-01 |
| 1316025802 | Scott T. Mcfarland | Ophthalmology | 7501 Hospital Dr Ste 105, Sacramento, CA 95823-5405 | 2006-11-01 |
| 1144303801 | Stephen Kenneth Wong | Ophthalmology | 1 Scripps Dr Ste 303, Sacramento, CA 95825 | 2006-10-24 |
| 1518057108 | H Douglas Cooper | Ophthalmology | 1220 25th St, Sacramento, CA 95816-5005 | 2006-10-13 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95819 |
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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.