NPIMap

Organization Active NPI

River City Medical Group, Inc.

Doing business as Sacramento Family Medical Center

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1083722516
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
320200 Issued in CA
Legal business name
RIVER CITY MEDICAL GROUP, INC.
Doing business as
Sacramento Family Medical Center
Practice address
2928 Eastern Ave
Sacramento, CA 95821-4210
Phone
(916) 971-6702
Fax
(916) 971-6709
NPI assigned
Aug 25, 2006
Organization subpart
Yes
Parent organization
RIVER CITY MEDICAL GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Authorized official

Name
Mr. Kendrick Que
Title
Coo
Phone
(916) 228-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 320200 CA Primary

Addresses

Primary practice location

2928 Eastern Ave
Sacramento, CA 95821-4210

Mailing address

PO Box 15470
Sacramento, CA 95851-0470
Phone (916) 228-4300

Other identifiers 2

IdentifierTypeStateIssuer
GR0053756MedicaidCA
DA5949OtherCARAILROAD MEDICARE

Other names 1

  • Sacramento Family Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
River City Medical Group Inc9 organizations share this tax ID, including this one
Part of
River City Medical Group Inc

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6137 Watt Ave
North Highlands, CA 95660
Phone (916) 339-2229

2737 Woodberry Way
Ste 103
Rncho Cordova, CA 95670
Phone (916) 363-2229

2326 Del Paso Blvd
Ste C
Sacramento, CA 95815
Phone (916) 923-2229

3811 Florin Rd
#9
Sacramento, CA 95823
Phone (916) 427-1227

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 48

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

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1083722516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15470",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958510470",
            "telephone_number": "916-228-4300",
            "fax_number": "916-382-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 EASTERN AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958214210",
            "telephone_number": "916-971-6702",
            "fax_number": "916-971-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITY MEDICAL GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVER CITY MEDICAL GROUP, INC.",
        "enumeration_date": "2006-08-25",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "QUE",
        "authorized_official_first_name": "KENDRICK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "916-228-4300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "320200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0053756",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA5949",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacramento Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 1, 2016; 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.