RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP (NPI# 1730160847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730160847 |
| Entity Type | Organization |
| Organization Name | RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP |
| Practice Address |
1 Medical Plaza Dr Roseville CA 95661-3037 |
| 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 | 2005-11-07 |
| Last Update Date | 2011-10-27 |
| 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 |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR002851Z | 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 |
1 MEDICAL PLAZA DR |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-3037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560389 | Angela Bell | Emergency Medicine | 1 Medical Plaza Dr, Department of Emergency Medicine, Roseville, CA 95661-3037 | 2005-07-07 |
| 1942814744 | Steven Michael Decristofaro | Counselor | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2020-08-31 |
| 1083228886 | Dawn K Krakover | Counselor | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2020-08-31 |
| 1659900579 | Lacy Danielle Couchot | Nurse's Aide | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2020-04-02 |
| 1326670571 | Veronica Marie Kennedy | Marriage & Family Therapist | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2020-02-05 |
| 1417595760 | William Murray | Physician Assistant | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2019-12-17 |
| 1649813015 | Jennifer Eloise Amaro | Social Worker | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2019-10-17 |
| 1851959720 | Kyi Zin M.d.,inc. | Internal Medicine | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2019-06-04 |
| 1730613951 | Benjamin Palmer | Internal Medicine | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2017-04-13 |
| 1467812800 | Mitchell Morta | Nurse Practitioner | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2016-02-27 |
| Find all providers in the same location | ||||
| 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 | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629075718 | Glenn Allen Hofer | Radiology | 1640 E Roseville Parkway, #100, Roseville, CA 95661 | 2005-07-05 |
| 1730185620 | Randy Kent Knutzon | Radiology | 1640 E Roseville Pkwy, Ste 100, Roseville, CA 95661-3988 | 2005-06-24 |
| 1811978315 | Radiological Associates of Sacramento Medical Group | Radiology | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2005-11-10 |
| 1558342089 | Radiological Associates of Sacramento Medical Group | Radiology | 1640 E Roseville Pkwy, Suite 100, Roseville, CA 95661-3988 | 2005-11-10 |
| 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 |
| Find all providers in ROSEVILLE | ||||
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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.