ACUTE CARE SURGERY MEDICAL GROUP, INC. (NPI# 1700069549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700069549 |
| Entity Type | Organization |
| Organization Name | ACUTE CARE SURGERY MEDICAL GROUP, INC. |
| Practice Address |
2800 L St Suite 200 Sacramento CA 95816-5616 |
| Mailing Address |
Po Box 398102 San Francisco CA 94139-8102 |
| Practice Telephone | 9164546522 |
| Practice Fax Number | 9164546523 |
| Mailing Telephone | 9164410400 |
| Enumeration Date | 2007-12-16 |
| Last Update Date | 2020-07-07 |
| Authorized Official Name | MR. SEAN M. REED (COUNSEL) |
| Authorized Official Telephone | 9162879544 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
3056079 | CA | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
3056079 | CA | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | 3056079 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497198899 | Acute Care Surgery Medical Group, Inc. | Clinic/Center | 2800 L St, Suite 200, Sacramento, CA 95816-5616 | 2013-04-16 |
| 1083057707 | Acute Care Surgery Medical Group, Inc. | Clinic/Center | 1860 Pennsylvania Ave, Suite 305, Fairfield, CA 94533-3590 | 2013-04-11 |
| 1518300243 | Acute Care Surgery Medical Group, Inc. | Clinic/Center | 414 G St, Suite 120, Marysville, CA 95901-5663 | 2013-04-11 |
| Street Address |
2800 L ST SUITE 200 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-5616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164420808 | Harvey Brian Wolkov | Radiology | 2800 L St, Sacramento, CA 95816-5616 | 2005-07-07 |
| 1033581798 | Lori Aileen Mitchell | Pharmacist | 2800 L St, Suite 445, Sacramento, CA 95816-5616 | 2015-10-21 |
| 1013347921 | Erika Wasser | Social Worker | 2800 L St, Suite 500, Sacramento, CA 95816-5616 | 2013-11-14 |
| 1629401344 | Kimberley Erin Rose | Clinical Neuropsychologist | 2800 L St, Suite 500, Sacramento, CA 95816-5616 | 2013-08-16 |
| 1497198899 | Acute Care Surgery Medical Group, Inc. | Clinic/Center | 2800 L St, Suite 200, Sacramento, CA 95816-5616 | 2013-04-16 |
| 1790071736 | Eniko Nagy-wilde | Psychiatry & Neurology | 2800 L St, #500, Sacramento, CA 95816-5616 | 2011-06-28 |
| 1104078534 | Carolyn Louise Jones | Social Worker | 2800 L St, Suite 300, Sacramento, CA 95816-5616 | 2008-10-16 |
| 1992960892 | Renee J Low | Clinical Neuropsychologist | 2800 L St, Sacramento, CA 95816 | 2008-07-21 |
| 1568622637 | Dana Emil Groves | Registered Nurse | 2800 L St, Sacramento, CA 95816-5616 | 2008-06-12 |
| 1730347154 | Abby Mendis Gonik | Obstetrics & Gynecology | 2800 L St, Suite 300, Sacramento, CA 95816-5616 | 2008-06-02 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386118404 | Shirley Domingo, M.d., Inc. | Surgery | 3939 J St Ste 305, Sacramento, CA 95819-3639 | 2019-01-11 |
| 1205366101 | Medamerica Physician Solutions Inc | Surgery | 3000 L St Ste 200, Sacramento, CA 95816-5248 | 2017-06-14 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| 1164976585 | Rana Khan | Surgery | 8120 Timberlake Way Ste 212, Sacramento, CA 95823 | 2016-08-15 |
| 1821449430 | Jason A Park Md A Profesional Medical Corporation | Surgery | 1111 Exposition Blvd Ste 400a, Sacramento, CA 95815-4336 | 2016-06-24 |
| 1295115616 | Marissa Mendez | Surgery | 2335 Stockton Boulevard, Naob -5th Floor, Sacramento, CA 95817 | 2015-06-01 |
| 1669815940 | Shushmita Mehjabin Ahmed | Surgery | 2335 Stockton Blvd Naob 6th Floor, Sacramento, CA 95817-1418 | 2013-04-16 |
| 1588921795 | Claire E Graves | Surgery | 4501 X Street, Suite 3010, Sacramento, CA 95817-1418 | 2012-04-13 |
| 1164797684 | Luis Armando Godoy | Surgery | 2335 Stockton Blvd., Naob Suite 6120, Sacramento, CA 95817-2200 | 2012-03-16 |
| 1649560632 | Victoria Lyo | Surgery | 2315 Stockton Blvd. Department of Surgery, Naob Suite 6113, Sacramento, CA 95817-2201 | 2011-04-12 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
Please comment or provide details below to improve the information on ACUTE CARE 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.