Organization Active NPI

Healthwise Medical Group

  • Urology Physician
  • Sacramento, CA
National Provider Identifier
1053579482
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
HEALTHWISE MEDICAL GROUP
Practice address
3941 J St
Suite 250
Sacramento, CA 95819-3624
Phone
(916) 733-6800
Fax
(916) 733-6811
NPI assigned
Jun 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Judy Peng
Title
Office Manager
Phone
(916) 733-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

3941 J St
Suite 250
Sacramento, CA 95819-3624

Mailing address

3941 J St
Suite 250
Sacramento, CA 95819-3624
Phone (916) 733-6800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1053579482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 J ST",
            "address_2": "SUITE 250",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193624",
            "telephone_number": "916-733-6800",
            "fax_number": "916-733-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 J ST",
            "address_2": "SUITE 250",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193624",
            "telephone_number": "916-733-6800",
            "fax_number": "916-733-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWISE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "PENG",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "916-733-6800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.