SACRAMENTO RADIOLOGY MEDICAL GROUP, INC. (NPI# 1699946574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699946574 |
| Entity Type | Organization |
| Organization Name | SACRAMENTO RADIOLOGY MEDICAL GROUP, INC. |
| Practice Address |
3291 Ramos Cir Sacramento CA 95827-2516 |
| Mailing Address |
Po Box 276010 Sacramento CA 95827-6010 |
| Practice Telephone | 9163634040 |
| Mailing Telephone | 9163634040 |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |
| Authorized Official Name | CHRISTY MATTHEWS (ADMIN ASSOCITATE) |
| Authorized Official Telephone | 9163634040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
Ambulatory Health Care Facilities | ||
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124295662 | Sacramento Radiology Medical Group, Inc. | Radiology | 6620 Coyle Ave, Suite 107, Carmichael, CA 95608-6333 | 2008-05-14 |
| 1275700874 | Sacramento Radiology Medical Group, Inc. | General Acute Care Hospital | 4001 J Street, Mercy General Hospital, Sacramento, CA 95819 | 2008-05-13 |
| 1558538157 | Sacramento Radiology Medical Group, Inc. | Radiology | 6305 Coyle Ave, Carmichael, CA 95608-0438 | 2008-05-13 |
| 1457528051 | Sacramento Radiology Medical Group, Inc. | General Acute Care Hospital | 1650 Creekside Drive, Mercy Hospital of Folsom, Folsom, CA 95630 | 2008-05-13 |
| 1366619967 | Sacramento Radiology Medical Group, Inc. | General Acute Care Hospital | 7500 Hospital Drive, Methodist Hospital, Sacramento, CA 95823 | 2008-05-13 |
| 1679740526 | Sacramento Radiology Medical Group, Inc. | Radiology | 6660 Coyle Ave, Suite 200, Carmichael, CA 95608-6335 | 2008-05-09 |
| 1013184969 | Sacramento Radiology Medical Group, Inc. | Radiology | 1635 Creekside Dr, Suite 100, Folsom, CA 95630-3830 | 2008-05-09 |
| 1689841538 | Sacramento Radiology Medical Group, Inc. | Radiology | 7601 Hospital Dr, Suite 100, Sacramento, CA 95823-5408 | 2008-05-09 |
| 1386811230 | Sacramento Radiology Medical Group, Inc. | Radiology | 2110 Professional Dr, Suite 190, Roseville, CA 95661-3752 | 2008-05-09 |
| Street Address |
3291 RAMOS CIR |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95827-2516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275170235 | Amy Braley | Occupational Therapist | Love Joy Adhc, 10293 Rockingham Dr, Sacramento, CA 95827 | 2019-12-09 |
| 1164078598 | Theresa Marie Reich | Home Health Aide | 9819 Lebra Avenue, Sacramento, CA 95827 | 2019-08-12 |
| 1790257475 | Elissa Beth Crandall | Counselor | 3353 Bradshaw Rd Ste 112, Sacramento, CA 95827 | 2018-12-19 |
| 1649746900 | Christopher Avery Di Domenico | Counselor | North Site: 4441 Auburn Blvd, Suite E, Sacramento, CA 95827 | 2018-10-15 |
| 1285156661 | Keith Ramon Blakely | Counselor | 9738 Lincoln Village, Sacramento, CA 95827 | 2017-07-07 |
| 1376065755 | Julianne Marlene Divirgilio | Counselor | 9738 Lincoln Village Dr., Sacramento, CA 95827 | 2017-07-07 |
| 1275981409 | Carl Phillips Jr. | Counselor | 2819 Pepper Oaks Dr, Sacramento, CA 95827 | 2016-05-27 |
| 1316335581 | Nancy Khun | Counselor | 3990 Branch Center Rd., Sacramento, CA 95827 | 2014-12-22 |
| 1750623385 | Davidshka Lynel Shavers | Counselor | 3340 Viking Dr, Suite 114, Sacramento, CA 95827 | 2013-03-21 |
| 1114263803 | John Kwamena Bankas | Marriage & Family Therapist | 9837 Folsom Blvd., Ste. F, Sacramento, CA 95827 | 2012-12-27 |
| Find all providers in zip 95827 | ||||
| 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 |
|---|---|---|---|---|
| 1598246209 | Solano Diagnostics Partners, A Calif Limited Partnership | Radiology | 3111 S St Apt 307, Sacramento, CA 95816-7065 | 2018-08-22 |
| 1992210850 | Jessica Deyanira Izquierdo | Radiology | 8233 Scottsdale Dr, Sacramento, CA 95828-4530 | 2017-12-13 |
| 1184153629 | Iv Radiology Medical Group | Radiology | 4608 T St, Sacramento, CA 95819-4744 | 2017-06-08 |
| 1396086443 | Vincent L Quilici | Radiology | 3601 Meadow Ln, Sacramento, CA 95864-1522 | 2013-03-13 |
| 1740416544 | Himaja Peddi | Radiology | 2800 L Street, Suite 610, Sutter Medical Foundation, Sacramento, CA 95816-5616 | 2009-06-08 |
| 1679735666 | Kathleen Khong | Radiology | 4860 Y St # 3100, Sacramento, CA 95817-2307 | 2008-06-30 |
| 1548443807 | Alexander M Kane | Radiology | 509 21st St, Sacramento, CA 95811-1118 | 2007-12-10 |
| 1245420447 | Jeffrey Steven Fountain | Radiology | 816 D St, Apt 13, Sacramento, CA 95814-0719 | 2007-07-25 |
| 1487856704 | Kamran Ahmed | Radiology | 2800 L Street Suite 610, Sacramento, CA 95816 | 2007-06-01 |
| 1548485733 | Tien Hong Tran | Radiology | 2800 L St Ste 610, Sacramento, CA 95816-5616 | 2007-04-14 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95827 |
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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.