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RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP NPI 1558342089


NPI Information

NPI: 1558342089
Provider Name: RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1640 E ROSEVILLE PKWY
SUITE 100
ROSEVILLE, CA
ZIP 95661
Phone: (916) 784-2277
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RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP 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. RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP NPI is 1558342089. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1640 E ROSEVILLE PKWY
SUITE 100
ROSEVILLE, CA
ZIP 95661-988
Phone: (916) 784-2277
Fax: (916) 932-1104

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085B0100XRadiologyBody ImagingCALIFORNIANo
22085U0001XRadiologyDiagnostic UltrasoundCALIFORNIANo
32085R0202XRadiologyDiagnostic RadiologyCALIFORNIAYes

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
1ZZZ24943ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2GR0092580MEDICAIDCALIFORNIA

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

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