SACRAMENTO RADIOLOGY MEDICAL GROUP INC. NPI 1679740526

NPI Information

NPI: 1679740526
Provider Name: SACRAMENTO RADIOLOGY MEDICAL GROUP, INC.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 05D2204638

Address:
6660 COYLE AVE
SUITE 200
CARMICHAEL, CA
ZIP 95608
Phone: (916) 965-1913
Get Directions

SACRAMENTO RADIOLOGY MEDICAL GROUP, INC. is a diagnostic radiology radiology in Carmichael, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SACRAMENTO RADIOLOGY MEDICAL GROUP, INC. NPI is 1679740526. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6660 COYLE AVE
SUITE 200
CARMICHAEL, CA
ZIP 95608-335
Phone: (916) 965-1913
Fax: (916) 863-1218

The provider's authorized official is Sigrid Owyang .
The authorized official title is Executive Director and has the following contact phone number (916) 363-4040.

The CLIA number assigned to this NPI record is 05D2204638 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2008 and was last updated on 5/9/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GR0011373	OTHER	CALIFORNIA	MEDI-CAL
2	ZZZ17568Z	OTHER		BLUE SHIELD
3	ZZZ17568Z	MEDICARE PIN

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: 5/5/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »