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
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • Address: 5 MEDICAL PLAZA DRIVE
    SUITE 140
    ROSEVILLE, CA
    ZIP 95661
  • Phone: (916) 783-8114

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NPI Details

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 License Number License State Primary
1207U00000XNuclear MedicineNo
22085B0100XRadiologyBody ImagingNo
32085N0700XRadiologyNeuroradiologyNo
42085P0229XRadiologyPediatric RadiologyNo
52085R0001XRadiologyRadiation OncologyNo
62085U0001XRadiologyDiagnostic UltrasoundNo
72086S0129XSurgeryVascular SurgeryYes

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
1ZZZ22476ZMEDICARE PINCALIFORNIA
2GR002851PMEDICAIDCALIFORNIA

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: 3/30/2025

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