Sacramento Pediatrics Medical Group

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A34512 Issued in CA

Legal business name

SACRAMENTO PEDIATRICS MEDICAL GROUP

Practice address

7501 Hospital Dr
Suite 206
Sacramento, CA 95823-5405

Phone

(916) 682-7481

Fax

(916) 422-6500

NPI assigned

Feb 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Anne Walton, MDNPI 1558313312

Title

President

Phone

(916) 422-6635

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Stephanie Anne Walton, M.D.

  • Pediatrics Physician
  • Sacramento, CA
  • NPI 1558313312
  NPD (past) Authorized official
• An-Shyang Tsai, MD

  • Pediatrics Physician
  • Sacramento, CA
  • NPI 1770551731
  NPD (past)

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1063803203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7237 E SOUTHGATE DR",
            "address_2": "SUITE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232637",
            "telephone_number": "916-422-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 HOSPITAL DR",
            "address_2": "SUITE 206",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235405",
            "telephone_number": "916-682-7481",
            "fax_number": "916-422-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRAMENTO PEDIATRICS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-422-6635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A34512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sacramento Physician Group
• Sacramento Physicians Medical Group, Inc.
• Sacramento Plastic & Reconstructive Surgery Medical Group Inc
• Sacramento Psychiatric Associates
• Sacramento Psychiatry and Psychotherapy

• Pediatrics Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.