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CAPITOL CITY MEDICAL GROUP INC NPI 1447238092


NPI Information

NPI: 1447238092
Provider Name: CAPITOL CITY MEDICAL GROUP, INC

Other Name: CAPITAL CITY MEDICAL GROUP

Classification: Radiologic Technologist - 2471B0102X
Entity Type: Organization

Specialization: Bone Densitometry

Address:
500 UNIVERSITY AVE
SUITE 200
SACRAMENTO, CA
ZIP 95825
Phone: (916) 920-1200
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CAPITOL CITY MEDICAL GROUP, INC is a bone densitometry radiologic technologist in Sacramento, CA. The provider is a radiologic technologist who specializes in bone densitometry and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy, in performance of bone density imaging, exam techniques, equipment protocols, radiation safety, and patient care. CAPITOL CITY MEDICAL GROUP, INC NPI is 1447238092. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Capital City Medical Group.

The provider's business location address is:

500 UNIVERSITY AVE
SUITE 200
SACRAMENTO, CA
ZIP 95825-523
Phone: (916) 920-1200

The provider's authorized official is Rose Mary Ullery .
The authorized official title is Administrator and has the following contact phone number (916) 920-1200.

The enumeration date for this NPI number is 1/4/2006 and was last updated on 8/22/2020.


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
12471B0102XRadiologic TechnologistBone DensitometryYes
2261QP2300XClinic/CenterPrimary CareX

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
1GR0088950MEDICAIDCALIFORNIA
2ZZZ61216ZOTHERCALIFORNIABLUE SHIELD PROVIDER ID

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

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