Active NPI
Alivio Medical Group, Inc.
- Specialist
- Sacramento, CA
National Provider Identifier
1013078765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G42657
- Legal business name
- ALIVIO MEDICAL GROUP, INC.
- Practice address
- 3009 K St Ste 202
Sacramento, CA 95816-5223 - Phone
- (916) 448-2998
- Fax
- (916) 448-3199
- NPI assigned
- Dec 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Andrew Diaz
- Title
- Secretary Chief Operations Officer
- Phone
- (916) 448-2998
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G42657 | CA | Primary |
Addresses
Primary practice location
3009 K St Ste 202
Sacramento, CA 95816-5223
Mailing address
3009 K St Ste 202
Sacramento, CA 95816-5223
Phone (916) 448-2998
Other names 1
- AMD Medical Services, Inc.
National Provider Directory
National Provider DirectoryLocations
3009 K St
Ste 202
Sacramento, CA 95816
Phone (916) 448-2998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013078765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3009 K ST STE 202",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165223",
"telephone_number": "916-448-2998",
"fax_number": "916-448-3199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3009 K ST STE 202",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165223",
"telephone_number": "916-448-2998",
"fax_number": "916-448-3199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALIVIO MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DIAZ",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "SECRETARY CHIEF OPERATIONS OFFICER",
"authorized_official_telephone_number": "916-448-2998",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "G42657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AMD Medical Services, Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.