RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP (NPI# 1306282868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306282868 |
| Entity Type | Organization |
| Organization Name | RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP |
| Practice Address |
1680 E Roseville Pkwy Suite 100 Roseville CA 95661-3988 |
| Mailing Address |
1500 Expo Pkwy Sacramento CA 95815-4227 |
| Practice Telephone | 9167838114 |
| Practice Fax Number | 9167838116 |
| Mailing Telephone | 9166468300 |
| Mailing Fax Number | 9165618620 |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2013-05-10 |
| 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 | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 207U00000X | Nuclear Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730160276 | Radiological Associates of Sacramento Medical Group | Radiology | 6600 Madison Ave, Suite 11, Carmichael, CA 95608-0645 | 2005-11-10 |
| 1669453197 | Radiological Associates of Sacramento Medical Group | Radiology | 8118 Timberlake Way, Suite 110, Sacramento, CA 95823-5400 | 2005-11-10 |
| 1508847096 | Radiological Associates of Sacramento Medical Group | Nuclear Medicine | 3123 Professional Dr, Ste 100, Auburn, CA 95603-2462 | 2005-11-10 |
| 1194706168 | Radiological Associates of Sacramento Medical Group | Radiology | 5277 F Street, Sacramento, CA 95819 | 2005-11-08 |
| 1831170851 | Radiological Associates of Sacramento Medical Group | Radiology | 1655 Creekside Dr, Folsom, CA 95630-3489 | 2005-11-08 |
| 1144201252 | Radiological Associates of Sacramento Medical Group | Radiology | 3320 Bell Rd, Auburn, CA 95603-9243 | 2005-11-07 |
| 1194706200 | Radiological Associates of Sacramento Medical Group | Radiology | 2000 Sutter Pl, Davis, CA 95616-6201 | 2005-11-07 |
| 1841271855 | Radiological Associates of Sacramento Medical Group | Radiology | 855 Russell Blvd, Davis, CA 95616-3426 | 2005-11-07 |
| 1457513442 | Radiological Associates of Sacramento Medical Group | Surgery | 5 Medical Plaza Dr, 180, Roseville, CA 95661-2865 | 2008-06-30 |
| 1285815381 | Radiological Associates of Sacramento Medical Group | Nuclear Medicine | 6620 Coyle Ave, 110, Carmichael, CA 95608-6333 | 2007-11-16 |
| Street Address |
1680 E ROSEVILLE PKWY SUITE 100 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-3988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013064344 | Kaiser Foundation Health Plan Inc | Pharmacy | 1680 E Roseville Pkwy, Roseville, CA 95661-3988 | 2007-01-05 |
| 1629695887 | Susan Patricia Suhr | Respiratory Therapist, Registered | 1680 E Roseville Pkwy, Roseville, CA 95661-3988 | 2020-07-02 |
| 1265920318 | Connie Sue Brown | Physical Therapist | 1680 E Roseville Pkwy, Roseville, CA 95661-3988 | 2018-04-24 |
| 1437429966 | Whitney Osofsky | Speech-Language Pathologist | 1680 E Roseville Pkwy, Roseville, CA 95661-3988 | 2011-12-30 |
| 1225152549 | Gabe Christian O. Villaflor | Physical Therapist | 1680 E Roseville Pkwy, Suite 112, Roseville, CA 95661-3988 | 2007-03-19 |
| 1497891238 | Jesse Henry Lund | Optometrist | 1680 E Roseville Pkwy, Roseville, CA 95661-3988 | 2007-01-29 |
| 1558414185 | Lubert Lam | Optometrist | 1680 E Roseville Pkwy, Roseville, CA 95661-3988 | 2007-01-18 |
| 1326190406 | Kenneth Stagnaro | Optometrist | 1680 E Roseville Pkwy, Roseville, CA 95661-3988 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1306467204 | Saleh Radiology of Inland Empire | Radiology | 15276 Ledgestone St, Fontana, CA 92336-4048 | 2020-05-01 |
| 1366084535 | Luo Xu | Radiology | 757 Westwood Plz # 2146, Los Angeles, CA 90095-8358 | 2019-10-09 |
| 1346717824 | Cvs Medical Group, Inc | Radiology | 201 W Garvey Ave Ste 102-502, Monterey Park, CA 91754-7418 | 2018-11-01 |
| 1407353675 | Art Vascular & Interventional Associates Inc | Radiology | 324 S Beverly Dr Ste 345, Beverly Hills, CA 90212-4801 | 2018-04-12 |
| 1568971869 | Broad Reach Specialty Surgery Inc | Radiology | 8117 West Manchester Ave, Ste 368, Playa Del Rey, CA 90293 | 2017-09-29 |
| 1407393754 | Valley Vascular Partners Inc | Radiology | 19231 Victory Blvd Ste 155, Reseda, CA 91335-6329 | 2017-01-25 |
| 1124497342 | Neurointerventional Surgery Consultants, PC | Radiology | 534 S Brea Blvd, Brea, CA 92821-5304 | 2015-09-17 |
| 1578946026 | Clarity Radiology, LLC | Radiology | 39 Via Navarro, Greenbrae, CA 94904-1215 | 2015-07-01 |
| 1669863981 | Pedes Vascular San Fernando Valley | Radiology | 16260 Ventura Boulevard, Suite 210, Encino, CA 91436-2203 | 2015-02-09 |
| Find all providers with the same taxonomy | ||||
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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.