MEDTEN MEDICAL GROUP INC (NPI# 1235565300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235565300 |
| Entity Type | Organization |
| Organization Name | MEDTEN MEDICAL GROUP INC |
| Practice Address |
5767 Greenback Ln Suite 200 Sacramento CA 95841-2013 |
| Mailing Address |
3221 Rapallo Pl El Dorado Hills CA 95762-5463 |
| Practice Telephone | 9162206487 |
| Mailing Telephone | 9162206487 |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2013-09-20 |
| Authorized Official Name | DR. NAVEEN MANOHAR (VICE PRESIDENT) |
| Authorized Official Telephone | 9162206487 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
A88977 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
5767 GREENBACK LN SUITE 200 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95841-2013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043321789 | Yinka K Davies | Pediatrics | 5767 Greenback Ln, Suite 200, Sacramento, CA 95841-2013 | 2006-08-31 |
| 1982958351 | Sacramento Pediatric Gastroenterology,inc. | Clinic/Center | 5767 Greenback Ln, Suite 200, Sacramento, CA 95841-2013 | 2012-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942794359 | Paris D Oceguera Torres | Behavior Technician | 5000 Auburn Blvd, Sacramento Maxim Healthcare, CA 95841 | 2018-06-19 |
| 1386196228 | Always Connected Incorporated | Community/Behavioral Health | 4738 Auburn Boulevard Suite 100, Sacramento, CA 95841 | 2016-10-26 |
| 1538619077 | Hashim Alhaidari | Pharmacist | 5002 Greenberry Drive, Sacramento, CA 95841 | 2016-10-08 |
| 1346588480 | Ucp of Sacramento and Northern California | Community/Behavioral Health | 4350 Auburn Blvd., Sacramento, CA 95841 | 2013-01-24 |
| 1962778639 | Mandi Elizabeth Mcbride | Counselor | 4441 Auburn Blvd, Suite E, Sacramento, CA 95841 | 2012-03-28 |
| 1144595976 | Jesse John Echavarria | Counselor | 4441auburn Bvld, Suite E, Sacramento, CA 95841 | 2012-03-13 |
| 1780994269 | Jessica Hernandez | Behavioral Analyst | 4441 Auburn Blvd, Suite E, Sacramento, CA 95841 | 2010-10-18 |
| 1386958262 | Altha Marie Gray-wilson | Counselor | 4141 Auburn Blvd, Sacramento, CA 95841 | 2010-08-03 |
| 1780900795 | Cynthia Jeanette Keeth | Counselor | 4441 Auburn Blvd., Suite E, Sacramento, CA 95841 | 2010-04-15 |
| 1104073121 | Ellen Mark | Dentist | 6399 Garfield Ave, Suite 150, Sacramento, CA 95841 | 2008-08-20 |
| Find all providers in zip 95841 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205082393 | Oleg Georgievich Kovalenko | Pediatrics | 2929 K Street, Suite 200, Sacramento, CA 95816-5122 | 2008-08-08 |
| 1609869510 | Hessameddin Fallah-najmabadi | Pediatrics | 5609 J St, Suite A, Sacramento, CA 95819-3957 | 2005-08-25 |
| 1790777308 | Naveen S Manohar | Pediatrics | 2929 K St, Suite 200, Sacramento, CA 95816-5122 | 2005-08-19 |
| 1508211277 | Capital Pediatric Cardiology Associates Inc | Pediatrics | 2929 K St, Suite 200, Sacramento, CA 95816-5122 | 2016-04-29 |
| 1558620047 | Muluneh Abebe Yimer | Pediatrics | 2929 K Street, Suite 200, Sacramento, CA 95816-5122 | 2012-05-03 |
| 1922372663 | Pediatric Cardiologists of Northern California Inc | Pediatrics | 5609 J St, Suite A, Sacramento, CA 95819-3957 | 2012-02-27 |
| 1912270281 | Pediatrix Cardiology of Sacramento PC | Pediatrics | 5609 J St, Suite A, Sacramento, CA 95819-3957 | 2012-02-17 |
| 1497031892 | Bianca Castellanos | Pediatrics | 2516 Stockton Boulevard, Department of Pediatric Cardiology, Sacramento, CA 95817 | 2011-10-29 |
| 1265769806 | Guruprasad Tiptur Mahadevaiah | Pediatrics | 2929 K St Ste 200, Sacramento, CA 95816-5122 | 2009-11-03 |
| 1205068392 | Jonathan Gil Dayan | Pediatrics | 2516 Stockton Blvd, Pediatric Cardiology, Sacramento, CA 95817-2208 | 2009-08-22 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95841 |
Please comment or provide details below to improve the information on MEDTEN MEDICAL GROUP INC.
| 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.