TRAUMA MEDICAL GROUP OF ROSEVILLE INC (NPI# 1942244538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942244538 |
| Entity Type | Organization |
| Organization Name | TRAUMA MEDICAL GROUP OF ROSEVILLE INC |
| Practice Address |
One Medical Plaza Drive Roseville CA 95661-3080 |
| Mailing Address |
Po Box 2366 Rocklin CA 95677-8366 |
| Practice Telephone | 9167811382 |
| Practice Fax Number | 9167811383 |
| Mailing Telephone | 9167811382 |
| Mailing Fax Number | 9167811383 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2015-04-07 |
| Authorized Official Name | DR. JON PERLSTEIN (PRESIDENT) |
| Authorized Official Telephone | 9167811382 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
Allopathic & Osteopathic Physicians |
| Street Address |
ONE MEDICAL PLAZA DRIVE |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-3080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356572622 | Syed Affan Ahmed | Internal Medicine | One Medical Plaza Drive, Roseville, CA 95661 | 2009-08-04 |
| 1659495026 | Devinder Kumar | Internal Medicine | One Medical Plaza Drive, Roseville, CA 95661-3037 | 2007-03-19 |
| 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 | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1568865962 | Zia A Dehqanzada Md Apc | Surgery | 2 Medical Plaza Dr, #275, Roseville, CA 95661-3043 | 2014-09-30 |
| 1548360100 | Jack D Friedlander | Surgery | 5 Medical Plaza Dr., Suite 120, Roseville, CA 95661 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831665843 | Layton Surgery | Surgery | 9025 Wilshire Blvd Ste 401, Beverly Hills, CA 90211-1828 | 2018-10-17 |
| 1003319609 | Amber Jones Do Mph | Surgery | 121 Jose Ln, Martinez, CA 94553-9795 | 2018-03-10 |
| 1326589870 | Aussama Khalaf Nassar | Surgery | 300 Pasteur Dr # 67, Stanford, CA 94305-2200 | 2017-03-16 |
| 1124301189 | Rafael Torres-fajardo | Surgery | 2315 Stockton Blvd Rm Op512, Sacramento, CA 95817-2201 | 2011-09-26 |
| 1104125343 | Eleanor Curtis | Surgery | 2335 Stockton Blvd, Sacramento, CA 95817-9581 | 2011-03-25 |
| 1942444005 | Justin Abraham Mandell | Surgery | 2315 Stockton Blvd # Surgery, Sacramento, CA 95817-2201 | 2009-04-20 |
| 1649435322 | Ruby A. Skinner, Md Apc | Surgery | 1100 S Hope St Apt 1116, Los Angeles, CA 90015-2190 | 2008-07-22 |
| 1316123383 | Abnet Amsalework Alemu | Surgery | 2350 Country Hills Drive, Antioch, CA 94506 | 2008-01-21 |
| 1851596118 | Angela Lynn Neville | Surgery | Harbor Ucla Medical Center, Dept of Surgery. Box #25, 1000 W. Carson Street, Torrance, CA 90502 | 2007-06-18 |
| 1750315214 | Sean Cao, M.d., Inc. | Surgery | 9940 Talbert Ave # 202, Fountain Valley, CA 92708-5153 | 2006-07-10 |
| Find all providers with the same taxonomy | ||||
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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.