RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP NPI 1194706689

NPI Information

NPI: 1194706689
Provider Name: RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
2241 DOUGLAS BLVD
STE 110
ROSEVILLE, CA
ZIP 95661
Phone: (916) 783-8900
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RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP is a radiation oncology radiology in Roseville, CA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP NPI is 1194706689. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2241 DOUGLAS BLVD
STE 110
ROSEVILLE, CA
ZIP 95661-831
Phone: (916) 783-8900
Fax: (916) 789-1550

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 10/28/2011.

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 Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology		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	ZZZ22476Z	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
2	GR002851V	MEDICAID	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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