SACRAMENTO COLON & RECTAL SURGERY MEDICAL GROUP, INC. (NPI# 1285637942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285637942 |
| Entity Type | Organization |
| Organization Name | SACRAMENTO COLON & RECTAL SURGERY MEDICAL GROUP, INC. |
| Practice Address |
1020 29th St Ste 350 Sacramento CA 95816-5173 |
| Practice Telephone | 9162311050 |
| Practice Fax Number | 9162311055 |
| Mailing Telephone | 9162311050 |
| Mailing Fax Number | 9162311055 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2008-02-05 |
| Authorized Official Name | J. PETER ZEGARRA (CEO) |
| Authorized Official Telephone | 9162311050 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G52872 | CA | Other Service Providers |
| Street Address |
1020 29TH ST STE 350 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-5173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750872214 | Mehwish Farooqi | Student in an Organized Health Care Education/Training Program | 1020 29th St, Sacramento, CA 95816-5125 | 2018-05-21 |
| 1487017372 | Nicole Lew | Nurse Practitioner | 1020 29th St, Suite 270, Sacramento, CA 95816-5125 | 2016-03-30 |
| 1366833915 | Rumana Khan | Hospitalist | 1020 29th St, 480, Sacramento, CA 95816-5125 | 2015-02-17 |
| 1558761924 | Hemangini Patel | Physician Assistant | 1020 29th St, Suite 570a, Sacramento, CA 95816-5125 | 2014-09-03 |
| 1538583232 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1020 29th St, Ste 140, Sacramento, CA 95816-5173 | 2014-02-17 |
| 1275876294 | Zaida Maya Botello | Hospitalist | 1020 29th St, Suite 480, Sacramento, CA 95816 | 2013-03-27 |
| 1730438037 | Burzeen Eruch Karanjawala | Surgery | 1020 29th St, Suite 350, Sacramento, CA 95816-5125 | 2012-08-31 |
| 1811259203 | Neha Venkatesh Janakiraman | Family Medicine | 1020 29th St, Suite 480, Sacramento, CA 95816-5125 | 2012-06-12 |
| 1760740161 | Imran Ally | Hospitalist | 1020 29th St, #480, Sacramento, CA 95816 | 2012-04-24 |
| 1023382934 | Elaine Kwong | Internal Medicine | 1020 29th St, Suite 480, Sacramento, CA 95816-5125 | 2012-02-24 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558918128 | Claudeen Tracy Brown | Specialist | 7826 Alta Valley Dr, Sacramento, CA 95823-4604 | 2019-08-19 |
| 1154889525 | Kelley Nicole Ashe | Specialist | 1510 16th St Ste 120, Sacramento, CA 95814-6015 | 2019-03-05 |
| 1891266656 | Debra Marie Engelbrite | Specialist | 4100 Lusk Dr, Sacramento, CA 95864-0748 | 2018-12-05 |
| 1932633070 | Paquette Spine Institute, Corp. | Specialist | 3800 J St Ste 210, Sacramento, CA 95816-5551 | 2017-04-15 |
| 1154792216 | Anthony Demario | Specialist | 4860 Y Street Site 1100, Sacramento, CA 95817 | 2015-10-15 |
| 1316338460 | Patricia Rao | Specialist | 5901 Stallon Way, Sacramento, CA 95823-3820 | 2015-02-11 |
| 1598162810 | Debra Garcia | Specialist | 1124 Rio Cidade Way, Sacramento, CA 95831-4487 | 2014-12-02 |
| 1801198809 | Lee Adam Worth | Specialist | 1500 Capitol Ave, Sacramento, CA 95814-5006 | 2010-11-23 |
| 1962724575 | Shannon Richard Reed | Specialist | 719 56th St, Sacramento, CA 95819-3306 | 2010-02-23 |
| 1730413774 | Bob Ghelfi Md PC | Specialist | 2295 Gateway Oaks Dr, Suite 105, Sacramento, CA 95833-3225 | 2009-09-23 |
| 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.