Provider Type Icon

SACRAMENTO RADIOLOGY MEDICAL GROUP INC. NPI 1386811230


NPI Information

NPI: 1386811230
Provider Name: SACRAMENTO RADIOLOGY MEDICAL GROUP, INC.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
2110 PROFESSIONAL DR
SUITE 190
ROSEVILLE, CA
ZIP 95661
Phone: (916) 787-0404
Get Directions

SACRAMENTO RADIOLOGY MEDICAL GROUP, INC. is a diagnostic radiology radiology in Roseville, 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 1386811230. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2110 PROFESSIONAL DR
SUITE 190
ROSEVILLE, CA
ZIP 95661-752
Phone: (916) 787-0404
Fax: (916) 787-0434

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 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

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
1ZZZ17569ZOTHERBLUE SHIELD
2GR001137JOTHERCALIFORNIAMEDI-CAL
3ZZZ25297ZMEDICARE 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: 11/14/2023

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.