UAP SACRAMENTO, PC (NPI# 1245644863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245644863 |
| Entity Type | Organization |
| Organization Name | UAP SACRAMENTO, PC |
| Practice Address |
2805 J St 200 Sacramento CA 95816-4307 |
| Mailing Address |
5 Holland 101 Irvine CA 92618-2566 |
| Practice Telephone | 9162318755 |
| Mailing Telephone | 9495882190 |
| Mailing Fax Number | 9495882199 |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2016-12-15 |
| Authorized Official Name | DR. NIRVANA KUNDU (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 5306653212 |
| Authorized Official Credential | M. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | TRICARE | 1245644863 | 01 |
| Street Address |
2805 J ST 200 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-4307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295739134 | Michael J Fazio, Md, Surgery Center | Clinic/Center | 2805 J St, Ste 100, Sacramento, CA 95816-4307 | 2005-06-09 |
| 1275051310 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 2805 J St, Sacramento, CA 95816-4307 | 2017-09-08 |
| 1932359056 | Anthony F Bellomo Md Inc | Orthopaedic Surgery | 2805 J St, Suite 210, Sacramento, CA 95816-4307 | 2008-09-25 |
| 1548449960 | Jack Clayton Oates | Dentist | 2805 J St, Suite 220, Sacramento, CA 95816-4307 | 2007-11-01 |
| 1760689525 | Cassandra Alda Lee | Orthopaedic Surgery | 2805 J St, Suite 3400, Sacramento, CA 95816-4307 | 2007-06-27 |
| 1184831521 | Michael J Fazio, Md Inc | Dermatology | 2805 J St, Suite 100, Sacramento, CA 95816-4307 | 2007-05-16 |
| 1568410140 | Vicky Jo Moran | Nurse Anesthetist, Certified Registered | 2805 J St, Sacramento, CA 95816-4307 | 2006-05-05 |
| 1780664334 | Regents of The University of Ca | Clinic/Center | 2805 J St, Ste 300, Sacramento, CA 95816-4307 | 2006-01-19 |
| 1619953643 | David Cosca | Neuromusculoskeletal Medicine, Sports Medicine | 2805 J St, Suite 300, Sacramento, CA 95816 | 2005-12-21 |
| 1477543742 | Richard A. Marder | Orthopaedic Surgery | 2805 J St, Spt Med #300, Sacramento, CA 95816-4307 | 2005-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518432319 | Annette A Keochekian Md Inc | Anesthesiology | 2288 Auburn Blvd Ste 201, Sacramento, CA 95821-1620 | 2018-10-08 |
| 1881044857 | Karl Kristiansen | Anesthesiology | Department of Anesthesiology and Pain Medicine, 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2016-06-20 |
| 1174949218 | Eugene Andre Mansour | Anesthesiology | 4150 V St Street, Suite 1200, Sacramento, CA 95817-1460 | 2014-03-13 |
| 1912246281 | Cristina Chandler | Anesthesiology | 4150 V St.ucdmc Dept. of Anesthesiology & Pain Medicine, Pssb Suite 1200, Sacramento, CA 95817-1460 | 2013-02-06 |
| 1356619936 | Rory Scott Jaffe | Anesthesiology | 1215 K St, Ste 800, Sacramento, CA 95814-3945 | 2011-12-09 |
| 1225319015 | Kaitlin J Nicoletti | Anesthesiology | 3939 J Street Suite 310, Sacramento, CA 95819 | 2011-09-07 |
| 1720374622 | Tyler Bevins | Anesthesiology | 2315 Stockton Blvd # Op512, Sacramento, CA 95817-2201 | 2011-06-20 |
| 1396064408 | Charles John De Mesa | Anesthesiology | 4860 Y St Ste 3020, Sacramento, CA 95817-2307 | 2010-05-28 |
| 1619101680 | Niraj Niranjan | Anesthesiology | 4150 V Street Pssb Suite 1200, Ucdmc Dept. of Anesthesiology & Pain Medicine, Sacramento, CA 95817-1460 | 2009-05-06 |
| 1811137144 | Marissa Gomez Vadi | Anesthesiology | Patient Support Services Bldg, 4150 V Street, Suite 1200, Sacramento, CA 95817 | 2009-02-26 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
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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.