RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP (NPI# 1558342089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558342089 |
Entity Type | Organization |
Organization Name | RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP |
Practice Address |
1640 E Roseville Pkwy Suite 100 Roseville CA 95661-3988 |
Mailing Address |
1500 Expo Pkwy Sacramento CA 95815-4227 |
Practice Telephone | 9167842277 |
Practice Fax Number | 9169321104 |
Mailing Telephone | 9166468406 |
Mailing Fax Number | 9169204434 |
Enumeration Date | 2005-11-10 |
Last Update Date | 2011-10-28 |
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 | 2085B0100X |
Radiology Specialization: Body Imaging |
CA | Allopathic & Osteopathic Physicians | |
N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
CA | Allopathic & Osteopathic Physicians | |
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | GR0092580 | 05 |
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 |
1306282868 | Radiological Associates of Sacramento Medical Group | Internal Medicine | 1680 E Roseville Pkwy, Suite 100, Roseville, CA 95661-3988 | 2013-05-10 |
1457513442 | Radiological Associates of Sacramento Medical Group | Surgery | 5 Medical Plaza Dr, 180, Roseville, CA 95661-2865 | 2008-06-30 |
Street Address |
1640 E ROSEVILLE PKWY SUITE 100 |
City | ROSEVILLE |
State | CA |
Zip Code | 95661-3988 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730185620 | Randy Kent Knutzon | Radiology | 1640 E Roseville Pkwy, Ste 100, Roseville, CA 95661-3988 | 2005-06-24 |
1073756185 | Catherine A Eskander | Internal Medicine | 1640 E Roseville Pkwy, Ste 150, Roseville, CA 95661-3902 | 2009-04-20 |
1518954577 | Vipin Bansal | Radiology | 1640 E Roseville Pkwy, Suite 100, Roseville, CA 95661-3902 | 2005-10-04 |
1093712143 | Regan Asher | Radiology | 1640 E Roseville Pkwy, Ste 100, Roseville, CA 95661-3988 | 2005-07-05 |
1215934328 | John P Farkas | Radiology | 1640 E Roseville Pkwy, Ste 100, Roseville, CA 95661-3988 | 2005-07-05 |
1801893995 | Hani B. Greiss | Radiology | 1640 E Roseville Pkwy, Ste 100, Roseville, CA 95661-3988 | 2005-07-05 |
1255337960 | Jim Chin-sin Chen | Radiology | 1640 E Roseville Pkwy, Roseville, CA 95661-3988 | 2005-06-27 |
1164428876 | Richard Childrey Gross | Radiology | 1640 E Roseville Pkwy, Roseville, CA 95661-3988 | 2005-06-27 |
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 | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760856934 | Modesto Radiological Medical Group, Inc | Radiology | 2132 Lysander Way, Roseville, CA 95661-3220 | 2015-11-25 |
1407226582 | Keith W. Johnson | Radiology | 450 Bayview Dr, Roseville, MN 55113-6907 | 2015-10-01 |
1497180772 | Mw Healh Associate Inc | Radiology | 901 Sunrise Ave Ste A22, Roseville, CA 95661-4558 | 2013-09-05 |
1962727552 | Yauk Kaung Lee | Radiology | 1380 Lead Hill Blvd Ste 100, Roseville, CA 95661-2941 | 2010-04-07 |
1932426004 | Veena R Iyer | Radiology | 2355 Hwy 36 W., Ste. 100, Roseville, MN 55113 | 2010-04-28 |
1750526083 | Radiological Associates of Sacramento Medical Group Inc | Radiology | 5 Medical Plaza Dr, 130, Roseville, CA 95661-2865 | 2008-12-16 |
1386811230 | Sacramento Radiology Medical Group, Inc. | Radiology | 2110 Professional Dr, Suite 190, Roseville, CA 95661-3752 | 2008-05-09 |
1932397478 | Sentinel Health Staffing | Radiology | 18263 E 10 Mile Rd, Roseville, MI 48066-5805 | 2007-10-10 |
1821020017 | Roland D Demarco | Radiology | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2006-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952902116 | Vesta Telemedicine Solutions, Pllc | Radiology | 833 Americana Way Unit 251, Glendale, CA 91210-1538 | 2020-11-04 |
1558960161 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38209 47th St E Ste D, Palmdale, CA 93552-3113 | 2020-10-23 |
1003415613 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38925 Trade Center Dr Unit E, Palmdale, CA 93551-3655 | 2020-10-23 |
1083213151 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 44105 15th St W Ste 100, Lancaster, CA 93534-4090 | 2020-10-20 |
1750980967 | Centrelake Medical Group Inc | Radiology | 430 W Stetson Ave, Hemet, CA 92543-7328 | 2020-10-19 |
1538775994 | Richard J. Moran | Radiology | 230 S Main St Ste 101, Orange, CA 92868-3851 | 2020-09-21 |
1417567710 | Family Medical Diagnostics Inc | Radiology | 19231 Victory Blvd Ste 356, Reseda, CA 91335-6308 | 2020-08-03 |
1396365011 | Prodiagnose Inc | Radiology | 7345 Topanga Canyon Blvd # 210, Canoga Park, CA 91303-1244 | 2020-04-22 |
1548892276 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 13700 Marina Pointe Dr Unit 430, Marina Del Rey, CA 90292-9277 | 2020-02-11 |
1710518535 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 107, Redlands, CA 92373-4230 | 2020-01-30 |
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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.