SACRAMENTO PLASTIC & RECONSTRUCTIVE SURGERY MEDICAL GROUP INC (NPI# 1487854600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487854600 |
| Entity Type | Organization |
| Organization Name | SACRAMENTO PLASTIC & RECONSTRUCTIVE SURGERY MEDICAL GROUP INC |
| Practice Address |
95 Scripps Dr Sacramento CA 95825-6320 |
| Practice Telephone | 9169291833 |
| Practice Fax Number | 9169296730 |
| Mailing Telephone | 9169291833 |
| Mailing Fax Number | 9169296730 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2011-06-16 |
| Authorized Official Name | MR. MARLIN G. SCHRIOCK (ADMINISTRATOR) |
| Authorized Official Telephone | 9169291833 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
========= | CA | Allopathic & Osteopathic Physicians |
| Street Address |
95 SCRIPPS DR |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95825-6320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558433573 | Donald Richard Jasper | Plastic Surgery | 95 Scripps Dr, Sacramento, CA 95825-6320 | 2006-11-14 |
| 1487942009 | Kamran Justin Azad | Specialist | 95 Scripps Dr, Sacramento, CA 95825-6320 | 2011-07-17 |
| 1063612802 | Matthew Jordan Nykiel | Surgery | 95 Scripps Dr, Sacramento, CA 95825-6320 | 2007-07-19 |
| 1942375233 | Wayne Ichiro Yamahata | Plastic Surgery | 95 Scripps Dr, Sacramento, CA 95825-6320 | 2006-11-21 |
| 1174697072 | Debra Jolyn Johnson | Plastic Surgery | 95 Scripps Dr, Sacramento, CA 95825-6320 | 2006-11-20 |
| 1518030659 | John Michael Osborn | Plastic Surgery | 95 Scripps Dr, Sacramento, CA 95825-6320 | 2006-11-16 |
| 1134291073 | The Plastic Surgery Center | Clinic/Center | 95 Scripps Dr, Sacramento, CA 95825-6320 | 2006-11-15 |
| 1326110347 | Scott Douglas Green | Plastic Surgery | 95 Scripps Dr, Sacramento, CA 95825-6320 | 2006-11-14 |
| 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 | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114212693 | Heath Jared Charvet | Surgery | 2335 Stockton Blvd, Naob 6th Floor, Sacramento, CA 95817-1418 | 2011-06-13 |
| 1235314121 | David E Sahar | Surgery | 2221 Stockton Blvd Rm 2125, Sacramento, CA 95817-1418 | 2008-01-09 |
| 1073738365 | Charles Thoms Longo | Surgery | 4250 H St, Suite 3, Sacramento, CA 95819-3441 | 2007-04-13 |
| 1962625251 | Charles W. Perry, M.d., Inc. | Surgery | 3800 J St Ste 200, Sacramento, CA 95816-5551 | 2007-04-11 |
| 1568996056 | Corey Bascone | Surgery | 2315 Stockton Blvd. - Department of Surgery, Naob 6th Floor - Plastics, Sacramento, CA 95817-2201 | 2017-04-12 |
| 1154702892 | Jeffrey A Sweat Md PC | Surgery | 83 Scripps Dr, Suite 130, Sacramento, CA 95825-6319 | 2015-06-17 |
| 1679915565 | Shriners Hospitals for Children | Surgery | 2425 Stockton Blvd, Sacramento, CA 95817-2215 | 2013-07-22 |
| 1225302516 | Dattesh Rajendra Dave | Surgery | 2335 Stockton Blvd, 6th Floor, 6011-3, Sacramento, CA 95817 | 2012-03-03 |
| 1497075980 | Shuhao Zhang | Surgery | 3000 Q St Fl 5, Sacramento, CA 95816-7058 | 2010-06-07 |
| 1891014965 | Rohit Jaiswal | Surgery | 2315 Stockton Blvd Rm 6309, Sacramento, CA 95817-2201 | 2010-05-27 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95825 |
Please comment or provide details below to improve the information on SACRAMENTO PLASTIC & RECONSTRUCTIVE SURGERY 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.