SGR Medical Solutions L.L.C.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

103-114781 Issued in CA

Legal business name

SGR MEDICAL SOLUTIONS L.L.C.

Practice address

2717 Cabernet Way
Rancho Cordova, CA 95670-4811

Phone

(916) 868-9513

Fax

(916) 647-0280

NPI assigned

Aug 21, 2018

Organization subpart

No

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

Authorized official

Name

Shawn Bussard

Title

Owner

Phone

(916) 868-9513

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1073093746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 CABERNET WAY",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956704811",
            "telephone_number": "916-868-9513",
            "fax_number": "916-647-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 CABERNET WAY",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956704811",
            "telephone_number": "916-868-9513",
            "fax_number": "916-647-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SGR MEDICAL SOLUTIONS L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "BUSSARD",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-868-9513"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "103-114781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Self, DPT
• Milana Semirulnik
• Carole W. Sepulveda, RN
• Kristin Nicole Seto
• Arif M Seyal, MD
• Shareen S Shaheed, PHARMD
• Sumayyah Sharrieff
• Shawna Christensen Professional Clinical Counselor Inc
• Lauren Campbell Shepley
• Sherry's Rcfe LLC

• Oxygen Equipment & Supplies (DME) in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• Oxygen Equipment & Supplies (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.