RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP INC (NPI# 1932348638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932348638 |
| Entity Type | Organization |
| Organization Name | RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP INC |
| Other Organization Name | UROLOGY ASSOCIATES OF NORTHERN CALIFORNIA |
| Practice Address |
1561 Creekside Dr Suite 170 Folsom CA 95630-3492 |
| Mailing Address |
1500 Expo Pkwy Sacramento CA 95815-4227 |
| Practice Telephone | 9169835557 |
| Mailing Telephone | 9166468300 |
| Mailing Fax Number | 9169204434 |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2011-10-27 |
| Authorized Official Name | DR. JONATHAN BRESLAU (PRESIDENT) |
| Authorized Official Telephone | 9166468300 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Urology Associates of Northern California | Doing Business As Name - Organization |
| 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 |
| 1821322215 | Radiological Associates of Sacramento Medical Group Inc | Internal Medicine | 200 Mission Blvd, Jackson, CA 95642-2564 | 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 |
| Street Address |
1561 CREEKSIDE DR SUITE 170 |
| City | FOLSOM |
| State | CA |
| Zip Code | 95630-3492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497791487 | Shahriar Mabourakh | Plastic Surgery | 1561 Creekside Dr, Suite 110, Folsom, CA 95630-3492 | 2006-06-20 |
| 1063761237 | Denise Kathleen Hopkins | Physician Assistant | 1561 Creekside Dr, Folsom, CA 95630-3492 | 2012-09-04 |
| 1245558923 | Kelli Carver | Physician Assistant | 1561 Creekside Dr, #150, Folsom, CA 95630-3492 | 2010-05-05 |
| 1326374844 | Creekside Surgery Suite | Clinic/Center | 1561 Creekside Dr, Suite 110, Folsom, CA 95630-3492 | 2009-10-19 |
| 1538209663 | Greater Sacramento Pediatrics Association Inc | Clinic/Center | 1561 Creekside Dr, Suite 140, Folsom, CA 95630-3492 | 2007-02-07 |
| 1306867213 | Capitol Urology Medical Group Inc | Clinic/Center | 1561 Creekside Dr, Suite 170, Folsom, CA 95630 | 2006-07-23 |
| 1295768737 | Medical Vision Technology Ophthalmology Group, Inc. | Ophthalmology | 1561 Creekside Dr, Suite 160, Folsom, CA 95630-3492 | 2006-07-08 |
| 1336176312 | Cecille G Taylor | Ophthalmology | 1561 Creekside Dr, #160, Folsom, CA 95630 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724657 | Corrections and Rehabilitation | Pharmacy | 570 E. Natoma Street, Folsom, CA 95630 | 2020-03-12 |
| 1174153027 | Haley Harmon | Nurse Practitioner | 1621 Creekside Dr. Creekside Ob/gyn, Ste. 102, Folsom, CA 95630 | 2020-01-20 |
| 1932741469 | Ruma Ramani Jolly | Speech-Language Pathologist | 250 Mc Adoo Drive, Willow Springs, Apt.911, Folsom, CA 95630 | 2019-10-16 |
| 1750844767 | Sharon Munyaanyi | Registered Nurse | 1600 Creekside Dr Ste 3700, Folsom, CA 95630 | 2019-04-08 |
| 1104308345 | Stephanie Whatley | Optometrist | 2390 E Bidwell St Ste 400, Folsom, CA 95630 | 2018-09-04 |
| 1447746607 | Heather Michellee Thrapp | Behavioral Analyst | 125 Oak Ravine Way, Folsom, CA 95630 | 2018-07-10 |
| 1700370483 | Loretta May Delgado | Behavior Technician | 322 Crow Cany, Folsom, CA 95630 | 2018-06-18 |
| 1417448176 | Sound Support Inc. | Hearing Instrument Specialist | 610 East Bidwell Street, Suite A, Folsom, CA 95630 | 2018-05-29 |
| 1548750144 | Don Peterson Md, Sugical Assisting | General Practice | Mercy Hospital of Folsom (dignity Health Folsom), 1650 Creekside Dr., Folsom, CA 95630 | 2018-05-18 |
| 1245733328 | American Heritage Hospice Inc | Hospice Care, Community Based | 1837 Iron Point Rd Ste 180, Folsom, CA 95630 | 2018-03-14 |
| Find all providers in zip 95630 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164662813 | Radiological Associates of Sacramento Medical Group Inc | Urology | 1651 Creekside Dr, Folsom, CA 95630-3833 | 2009-02-20 |
| 1912147612 | Radiological Associates of Sacramento Medical Group Inc | Urology | 1650 Creekside Dr, Folsom, CA 95630-3400 | 2009-02-20 |
| 1275756314 | Udayshankar R Poonamallee | Urology | 1600 Creekside Dr, Suite 3600, Folsom, CA 95630-3444 | 2007-04-10 |
| 1407977531 | Brian Neal Naftulin | Urology | 1600 Creekside Dr, Suite 3600, Folsom, CA 95630-3444 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033096 | Urology Surgical Partners | Urology | 15944 Los Serranos Country Club Dr Ste 200, Chino Hills, CA 91709-3991 | 2020-11-06 |
| 1891301487 | Fadl Hamouche | Urology | 400 Parnassus Ave # A632, San Francisco, CA 94143-2202 | 2020-09-18 |
| 1083233902 | Elite Medical Group PC | Urology | 2083 Compton Ave Ste 202, Corona, CA 92881-3416 | 2020-04-10 |
| 1659919660 | Thrive Medical, Inc. | Urology | 18740 Ventura Blvd Ste 101, Tarzana, CA 91356-3366 | 2019-12-20 |
| 1457997645 | David G Song Md Inc | Urology | 5365 Walnut Avenue Ste A, Chino, CA 91710-9171 | 2019-11-21 |
| 1699316273 | Golden Gate Urology Inc | Urology | 929 Clay St Ste 505, San Francisco, CA 94108-1500 | 2019-10-04 |
| 1598318461 | Khoddami Medical Group Inc | Urology | 2705 Loma Vista Rd Ste 206, Ventura, CA 93003-1584 | 2019-07-19 |
| 1942760293 | Adventist Health Physicians Network | Urology | 2701 Chester Ave # 102, Bakersfield, CA 93301-2016 | 2019-03-22 |
| 1699233361 | Orange Coast Medical, A Medical Corporation | Urology | 10900 Warner Ave Ste 121, Fountain Valley, CA 92708-3846 | 2019-03-12 |
| 1891268389 | John Joseph Granato Jr. | Urology | 333 Cumberland Rd, Glendale, CA 91202-1256 | 2019-01-07 |
| 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.