RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP INC NPI 1629138300

NPI Information

NPI: 1629138300
Provider Name: RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP INC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
5 MEDICAL PLAZA DRIVE
SUITE 140
ROSEVILLE, CA
ZIP 95661
Phone: (916) 783-8114
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RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP INC is a vascular surgery surgery in Roseville, CA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP INC NPI is 1629138300. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5 MEDICAL PLAZA DRIVE
SUITE 140
ROSEVILLE, CA
ZIP 95661
Phone: (916) 783-8114
Fax: (916) 783-8116

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 12/11/2006 and was last updated on 10/27/2011.

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	Primary
1	207U00000X	Nuclear Medicine		No
2	2085B0100X	Radiology	Body Imaging	No
3	2085N0700X	Radiology	Neuroradiology	No
4	2085P0229X	Radiology	Pediatric Radiology	No
5	2085R0001X	Radiology	Radiation Oncology	No
6	2085U0001X	Radiology	Diagnostic Ultrasound	No
7	2086S0129X	Surgery	Vascular Surgery	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 PIN	CALIFORNIA
2	GR002851P	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: 4/28/2024

NPI Synchronization or Removal

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