Organization Active NPI

PDM of America

  • Preferred Provider Organization
  • Roseville, CA
National Provider Identifier
1083758767
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
PDM OF AMERICA
Practice address
2241 Lava Ridge CT
Roseville, CA 95661-3034
Phone
(916) 782-2200
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

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

Authorized official

Name
Eric Rideout
Title
Evp
Phone
(916) 782-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

2241 Lava Ridge CT
Roseville, CA 95661-3034

Mailing address

2241 Lava Ridge CT
Roseville, CA 95661-3034

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1083758767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 LAVA RIDGE CT",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 LAVA RIDGE CT",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613034",
            "telephone_number": "916-782-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDM OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "RIDEOUT",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "916-782-2200"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.