RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP NPI 1700857117

NPI Information

NPI: 1700857117
Provider Name: RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
8170 LAGUNA BLVD
STE 104
ELK GROVE, CA
ZIP 95768
Phone: (916) 686-1688
Get Directions

RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP is a diagnostic radiology radiology in Elk Grove, 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 1700857117. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8170 LAGUNA BLVD
STE 104
ELK GROVE, CA
ZIP 95768
Phone: (916) 686-1688
Fax: (916) 684-1079

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 2/1/2006 and was last updated on 10/26/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	2085B0100X	Radiology	Body Imaging	CALIFORNIA	No
2	2085N0700X	Radiology	Neuroradiology		No
3	2085N0904X	Radiology	Nuclear Radiology		No
4	2085R0203X	Radiology	Therapeutic Radiology		No
5	2085R0204X	Radiology	Vascular & Interventional Radiology		No
6	2085R0205X	Radiology	Radiological Physics		No
7	2085U0001X	Radiology	Diagnostic Ultrasound	CALIFORNIA	No
8	2085R0202X	Radiology	Diagnostic Radiology	CALIFORNIA	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	GR002851H	MEDICAID	CALIFORNIA
2	MMM00302M	MEDICARE PIN	CALIFORNIA

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: 11/14/2023

NPI Synchronization or Removal

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