Organization Active NPI

Chest Infectious Diseases & Critical Care Consultants Group Inc

  • Specialist
  • Sacramento, CA
National Provider Identifier
1093849523
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CHEST INFECTIOUS DISEASES & CRITICAL CARE CONSULTANTS GROUP INC
Practice address
7311 Greenhaven Dr Ste 165
Sacramento, CA 95831-3587
Phone
(913) 733-6870
Fax
(888) 975-7611
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Authorized official

Name
Mrs. Merrily F Wong
Title
Office Manager
Phone
(916) 733-6870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

7311 Greenhaven Dr Ste 165
Sacramento, CA 95831-3587

Mailing address

7311 Greenhaven Dr Ste 165
Sacramento, CA 95831-3587
Phone (913) 733-6870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040312000916 CA Part B Supplier - Clinic/Group Practice 7618866146 Receives reassigned benefits from 5 practitioners
Practice locations: Sacramento, CA

National Provider Directory

National Provider Directory

Locations

7311 Greenhaven Dr
Sacramento, CA 95831

3941 J St
Ste 354
Sacramento, CA 95819
Phone (916) 733-6870

7311 Greenhaven Dr
Ste 165
Sacramento, CA 95831
Phone (916) 733-6870

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 6

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1093849523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7311 GREENHAVEN DR STE 165",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313587",
            "telephone_number": "913-733-6870",
            "fax_number": "888-975-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7311 GREENHAVEN DR STE 165",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313587",
            "telephone_number": "913-733-6870",
            "fax_number": "888-975-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEST INFECTIOUS DISEASES & CRITICAL CARE CONSULTANTS GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "MERRILY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "916-733-6870",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "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 Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.