RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP INC (NPI# 1821322215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821322215 |
| Entity Type | Organization |
| Organization Name | RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP INC |
| Practice Address |
200 Mission Blvd Jackson CA 95642-2564 |
| Mailing Address |
1500 Expo Pkwy Sacramento CA 95815-4227 |
| Practice Telephone | 2092237500 |
| Mailing Telephone | 9166468300 |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2011-10-27 |
| Authorized Official Name | DR. JONATHAN BRESLAU (PRESIDENT) |
| Authorized Official Telephone | 9166468600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487945754 | Radiological Associates of Sacramento Medical Group Inc | Nuclear Medicine | 1880 Sierra Gardens Dr, 200, Roseville, CA 95661-2958 | 2011-04-21 |
| 1811968274 | Radiological Associates of Sacramento Medical Group Inc | Radiology | 200 Bella Vista Road, Vacaville, CA 95687 | 2006-02-01 |
| 1548538929 | Radiological Associates of Sacramento Medical Group Inc | Nuclear Medicine | 2725 Capitol Ave, Sacramento, CA 95816-6004 | 2011-12-13 |
| 1477879369 | Radiological Associates of Sacramento Medical Group Inc | Urology | 75 Scripps Dr, Sacramento, CA 95825-6320 | 2010-04-16 |
| 1275869406 | Radiological Associates of Sacramento Medical Group Inc | Internal Medicine | 7500 Hospital Dr, Sacramento, CA 95823-5403 | 2009-10-22 |
| 1487989828 | Radiological Associates of Sacramento Medical Group Inc | Internal Medicine | 6620 Coyle Ave, Suite 214, Carmichael, CA 95608-6333 | 2009-10-02 |
| 1881928281 | Radiological Associates of Sacramento Medical Group Inc | Internal Medicine | 970 Plumas St, Yuba City, CA 95991-4019 | 2009-10-01 |
| 1972743532 | Radiological Associates of Sacramento Medical Group Inc | Urology | 6660 Coyle Ave, Carmichael, CA 95608-6335 | 2009-02-23 |
| 1578703278 | Radiological Associates of Sacramento Medical Group Inc | Urology | 6620 Coyle Ave, 301, Carmichael, CA 95608-6333 | 2009-02-20 |
| 1164662813 | Radiological Associates of Sacramento Medical Group Inc | Urology | 1651 Creekside Dr, Folsom, CA 95630-3833 | 2009-02-20 |
| Street Address |
200 MISSION BLVD |
| City | JACKSON |
| State | CA |
| Zip Code | 95642-2564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932180320 | Mark Noel Forrette | Nurse Practitioner | 200 Mission Blvd, Jackson, CA 95642-2564 | 2005-11-11 |
| 1801374434 | Hospitalist Medicine Physicians of California - Jackson, PC | Internal Medicine | 200 Mission Blvd, Jackson, CA 95642-2564 | 2018-08-06 |
| 1336525609 | Michelle Ann Wong | Physician Assistant | 200 Mission Blvd, 1st Floor, Jackson, CA 95642-2564 | 2015-08-10 |
| 1932440781 | Surgical Affiliates of California | Surgery | 200 Mission Blvd, Jackson, CA 95642-2564 | 2013-03-04 |
| 1720384589 | Kim Marie Vagt | Dietitian, Registered | 200 Mission Blvd, Jackson, CA 95642-2564 | 2011-01-26 |
| 1063714517 | Mary Michelle Vanfossan | Dietitian, Registered | 200 Mission Blvd, Jackson, CA 95642-2564 | 2010-12-03 |
| 1568779072 | Krystin Granger | Anesthesiology | 200 Mission Blvd, Jackson, CA 95642-2564 | 2010-09-03 |
| 1629396122 | Harkanwal Singh | Hospitalist | 200 Mission Blvd, Jackson, CA 95642-2564 | 2010-05-07 |
| 1447494323 | Sutter Valley Hospitals | General Acute Care Hospital | 200 Mission Blvd, Jackson, CA 95642-2564 | 2009-04-23 |
| 1285890319 | Sound Inpatient Physicians Medical Group | Hospitalist | 200 Mission Blvd, Jackson, CA 95642-2564 | 2008-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932666575 | Gold Country Health Initiative, LLC | Family Medicine | 820/830 State Highway 88, Jackson, CA 95642 | 2019-03-01 |
| 1053844902 | Kathryn Erosa | Pharmacist | 515 Highway 49 South, Jackson, CA 95642 | 2017-04-07 |
| 1356882039 | Thomas Alan Bowhay | Clinic/Center | 820 Highway 88, Jackson, CA 95642 | 2017-03-15 |
| 1710130141 | Roland E Womack | Dentist | 511 Sutter St, Jackson, CA 95642 | 2008-10-29 |
| 1508929522 | Stanley M Ordonez | Dentist | 645 New York Ranch Rd, Jackson, CA 95642 | 2006-12-19 |
| 1942374996 | Thomas W Zeiler | Chiropractor | 665 New York Ranch Rd Suite 2, Jackson, CA 95642 | 2006-11-20 |
| 1023188968 | Cordelia Rose Slayter | Physical Therapist | 711 S State Hwy 49, Jackson, CA 95642 | 2006-11-08 |
| 1285744946 | Raleys | Pharmacy | 781 South Highway 49, Jackson, CA 95642 | 2006-08-30 |
| 1316996747 | Robert R. Bussell X | Physical Therapist | 813 Court Street, Ste 2, Jackon, CA 95642 | 2006-05-10 |
| 1861953135 | Chelsea Yule Solutions | Clinic/Center | 230 N Main St, Jackson, CA 95642 | 2019-03-28 |
| Find all providers in zip 95642 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649469743 | Central Clinic, PC | Internal Medicine | 603 Lansing Ave, Jackson, MI 49202-3209 | 2007-10-15 |
| 1780713966 | Jackson Oncology Associates, Pllc | Internal Medicine | 1860 Chadwick Dr Ste 301, Jackson, MS 39204-3467 | 2007-03-05 |
| 1346379500 | Jackson Oncology Associates,pllc | Internal Medicine | 2969 Curran Dr N Ste 200, Jackson, MS 39216-4121 | 2007-03-05 |
| 1639119589 | Justin T Baker | Internal Medicine | 1227 N State St Ste 101, Jackson, MS 39202-2002 | 2006-06-08 |
| 1093779456 | Omar Ahmad | Internal Medicine | 36 Sandstone Cir, Suite A & B, Jackson, TN 38305-2098 | 2006-04-13 |
| 1235101437 | Gary G Shi | Internal Medicine | 617 New York Ranch Rd, Jackson, CA 95642-9328 | 2006-02-02 |
| 1144290032 | Brian N Walker | Internal Medicine | 322 Hospital Blvd, Jackson, TN 38305 | 2006-01-24 |
| 1740284389 | Van L Lackey | Internal Medicine | 1227 N State St, Ste 101, Jackson, MS 39202-2002 | 2005-06-10 |
| 1407393374 | W.a. Foote Memorial Hospital, Inc | Internal Medicine | 205 N. East Ave, Jackson, MI 49201 | 2017-01-30 |
| 1740607225 | West Clinic, P.C. | Internal Medicine | 322 Hospital Blvd, Jackson, TN 38305-2079 | 2014-03-24 |
| Find all providers in JACKSON | ||||
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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.