RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP, INC. (NPI# 1245668300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245668300 |
| Entity Type | Organization |
| Organization Name | RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP, INC. |
| Practice Address |
77 Cadillac Dr Suite 130/180 Sacramento CA 95825-5453 |
| Mailing Address |
1500 Expo Parkway Sacramento CA 95815 |
| Practice Telephone | 9169003993 |
| Practice Fax Number | 9166149095 |
| Mailing Telephone | 9166468300 |
| Mailing Fax Number | 9165618620 |
| Enumeration Date | 2013-10-28 |
| Last Update Date | 2013-10-28 |
| 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 |
|---|---|---|---|---|---|
| N | 208800000X | Urology | A116274 | CA | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | A37811 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710182688 | Radiological Associates of Sacramento Medical Group, Inc. | Nuclear Medicine | 1500 Expo Pkwy, Sacramento, CA 95815-4227 | 2007-06-19 |
| 1558422618 | Radiological Associates of Sacramento Medical Group, Inc. | Nuclear Medicine | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2006-12-13 |
| Street Address |
77 CADILLAC DR SUITE 130/180 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95825-5453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841267234 | Bruce Alan Bob | Obstetrics & Gynecology | 77 Cadillac Dr, Suite 230, Sacramento, CA 95825-5453 | 2006-03-03 |
| 1043758923 | Maria Raquel Kronen | Obstetrics & Gynecology | 77 Cadillac Dr, Sacramento, CA 95825-5453 | 2017-02-10 |
| 1962878033 | Friz J Diaz, Dds, Inc. | Dentist | 77 Cadillac Dr, Suite 165, Sacramento, CA 95825-5453 | 2015-08-12 |
| 1497130660 | Nivano Ambulatory Surgery Center, Lp | Clinic/Center | 77 Cadillac Dr, Suite 130, Sacramento, CA 95825-5453 | 2015-07-29 |
| 1356602635 | Lifecenter Sacramento LLC | Clinic/Center | 77 Cadillac Dr, Sacramento, CA 95825-5453 | 2012-06-04 |
| 1194083477 | Nataliya Carlson | Student in an Organized Health Care Education/Training Program | 77 Cadillac Dr, Suite 230, Sacramento, CA 95825-5480 | 2012-04-24 |
| 1992080915 | James Anderson | Nurse Practitioner | 77 Cadillac Dr, Suite Number 210, Sacramento, CA 95825-5453 | 2011-10-21 |
| 1417263070 | Leslie Ann Lyda | Nurse Practitioner | 77 Cadillac Dr, Sacramento, CA 95825-5453 | 2010-08-20 |
| 1598908816 | Susan Kristina Glabe | Physician Assistant | 77 Cadillac Dr, Sacramento, CA 95825-5453 | 2009-04-16 |
| 1265618193 | Ringwald Medical Corporation | Pediatrics | 77 Cadillac Dr, Ste. 200, Sacramento, CA 95825-5453 | 2008-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1942810510 | Melissa Marlene Lowndes | Occupational Therapist | 1337 Howe Ave Unit 107, Sacramento, CA 95825 | 2020-08-07 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1154950327 | Hallie Wenz | Behavior Technician | 333 University Ave Suite #200, Sacramento, CA 95825 | 2020-04-08 |
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1710517891 | Amelia Garnica | Community/Behavioral Health | 720 Howe Avenue, Suite 102, Sacamento, CA 95825 | 2020-01-17 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604519 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave., Suite 102, Cacramento, CA 95825 | 2019-11-25 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| Find all providers in zip 95825 | ||||
| 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 |
|---|---|---|---|---|
| 1578882072 | Noah Canvasser | Urology | 4860 Y St Ste 2200, Sacramento, CA 95817-2307 | 2010-05-24 |
| 1427375245 | Raul I Clavijo | Urology | 4860 Y St Ste 3500, Sacramento, CA 95817 | 2010-05-04 |
| 1407950777 | Iraj Nabi | Urology | 87 Scripps Dr Ste 206, Sacramento, CA 95825-6381 | 2006-09-08 |
| 1225142490 | Jennifer G Rothschild | Urology | 4860 Y Street, Ste 3500, Uc Davis Medical Center Department of Urology, Sacramento, CA 95817 | 2006-08-18 |
| 1518487313 | Sigfred Ian Alpajaro | Urology | 4860 Y St Ste 2200, Sacramento, CA 95817-2307 | 2017-06-22 |
| 1649613365 | Serena Zhao Yang-loudin | Urology | 3000 Q St Fl 5, Sacramento, CA 95816 | 2013-04-11 |
| 1700137049 | Derya Tilki | Urology | 4860 Y St, Suite 3500, Sacramento, CA 95817-2307 | 2012-09-26 |
| 1356605729 | Alexander Cantrell | Urology | 2315 Stockton Blvd # Op512, Sacramento, CA 95817 | 2012-06-29 |
| 1972862613 | Patrick Sean Kilday | Urology | 2725 Capitol Ave, Suite 400, Sacramento, CA 95816 | 2012-05-15 |
| 1639452949 | Anna Michele Lawrence | Urology | 4860 Y Street, Suite 2200, Sacramento, CA 95817 | 2011-09-22 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95825 |
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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.