RAFAEL TORRES-FAJARDO (NPI# 1124301189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124301189 |
| Entity Type | Individual |
| Full Name | RAFAEL TORRES-FAJARDO |
| Credential | M.D |
| Practice Address |
2315 Stockton Blvd Rm Op512 Sacramento CA 95817-2201 |
| Practice Telephone | 9167345638 |
| Practice Fax Number | 9167345633 |
| Mailing Telephone | 9167345638 |
| Mailing Fax Number | 9167345633 |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2019-09-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
A148105 | CA | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
A148105 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2315 STOCKTON BLVD RM OP512 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649773466 | Samy Ramadan | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd Rm Op512, Sacramento, CA 95817 | 2018-03-18 |
| 1518487198 | Gillian Leigh Hoshal | Surgery | 2315 Stockton Blvd Rm Op512, Sacramento, CA 95817-2201 | 2017-06-23 |
| 1114377629 | Onika Doreen Veronica Noel | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd Rm Op512, Sacramento, CA 95817-2201 | 2016-06-15 |
| 1598147050 | Kyle Mark Thompson | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd Rm Op512, Sacramento, CA 95817-2201 | 2015-06-22 |
| 1881937449 | Charleston Chua | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd Rm Op512, Sacramento, CA 95817 | 2013-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104125343 | Eleanor Curtis | Surgery | 2335 Stockton Blvd, Sacramento, CA 95817-9581 | 2011-03-25 |
| 1942444005 | Justin Abraham Mandell | Surgery | 2315 Stockton Blvd # Surgery, Sacramento, CA 95817-2201 | 2009-04-20 |
| 1306800339 | David V. Shatz | Surgery | 2315 Stockton Blvd. Mh 4206, Uc Davis Medical Center - Division of Trauma, Sacramento, CA 95817-2201 | 2006-04-14 |
| 1013991769 | Garth Utter | Surgery | 2315 Stockton Blvd. - Department of Surgery, Naob 5th Floor - Trauma, Sacramento, CA 95817-2201 | 2005-12-05 |
| 1386184620 | Sapoora Manshaii Md Inc | Surgery | 2045 Hurley Way Ste 415, Sacramento, CA 95825-3220 | 2017-03-06 |
| 1396075966 | Kathleen Skipton Romanowski | Surgery | 2425 Stockton Blvd, Sacramento, CA 95817-2215 | 2010-01-05 |
| 1700069549 | Acute Care Surgery Medical Group, Inc. | Surgery | 2800 L St, Suite 200, Sacramento, CA 95816-5616 | 2007-12-16 |
| 1780877217 | Surgical Affiliates Management Group, Inc. | Surgery | 555 Capitol Mall Ste 260, Sacramento, CA 95814-4503 | 2007-08-17 |
| 1225154727 | Soman Sen | Surgery | 2425 Stockton Blvd, Suite 718, Sacramento, CA 95817-2215 | 2007-03-22 |
| 1396804878 | Nasim Hedayati | Surgery | 4860 Y St, Suite 3400, Sacramento, CA 95817-2307 | 2006-12-08 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
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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.