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RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP NPI 1174504666


NPI Information

NPI: 1174504666
Provider Name: RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
11815 EDUCATION ST
AUBURN, CA
ZIP 95602
Phone: (530) 888-4535
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RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP is a diagnostic radiology radiology in Auburn, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP NPI is 1174504666. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

11815 EDUCATION ST
AUBURN, CA
ZIP 95602-410
Phone: (530) 888-4535
Fax: (530) 889-6095

The provider's authorized official is Jonathan Breslau .
The authorized official title is President and has the following contact phone number (916) 646-8300.

The enumeration date for this NPI number is 11/10/2005 and was last updated on 10/27/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207U00000XNuclear MedicineNo
2207UN0902XNuclear MedicineNuclear Imaging & TherapyNo
3207UN0903XNuclear MedicineIn Vivo & In Vitro Nuclear MedicineNo
42085B0100XRadiologyBody ImagingCALIFORNIANo
52085N0700XRadiologyNeuroradiologyNo
62085N0904XRadiologyNuclear RadiologyNo
72085R0203XRadiologyTherapeutic RadiologyNo
82085R0204XRadiologyVascular & Interventional RadiologyNo
92085R0205XRadiologyRadiological PhysicsNo
102085U0001XRadiologyDiagnostic UltrasoundCALIFORNIANo
112085R0202XRadiologyDiagnostic RadiologyCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0028511MEDICAIDCALIFORNIA
2ZZZ00049ZMEDICARE PINCALIFORNIA
3ZZZ92322ZMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.