Organization Active NPI

Pulmonary Medicine Associates Medical Group, Inc

  • Acute Care Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1104178615
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
22046 Issued in CA
Legal business name
PULMONARY MEDICINE ASSOCIATES MEDICAL GROUP, INC
Practice address
1300 Ethan Way Ste 600
Sacramento, CA 95825-2296
Phone
(916) 482-7623
Fax
(916) 482-3647
NPI assigned
Oct 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Stephanie Efstratis
Title
Billing Manger
Phone
(916) 482-7623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X 22046 CA Primary

Addresses

Primary practice location

1300 Ethan Way Ste 600
Sacramento, CA 95825-2296

Mailing address

1300 Ethan Way Ste 600
Sacramento, CA 95825-2296
Phone (916) 482-7623

Other identifiers 1

IdentifierTypeStateIssuer
1407880719OtherCAPRACTICE NPI NUMBER

National Provider Directory

National Provider Directory
Tax ID family
I V Chemotherapeutics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1119/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1104178615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 ETHAN WAY STE 600",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252296",
            "telephone_number": "916-482-7623",
            "fax_number": "916-482-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 ETHAN WAY STE 600",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252296",
            "telephone_number": "916-482-7623",
            "fax_number": "916-482-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY MEDICINE ASSOCIATES MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "EFSTRATIS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "BILLING MANGER",
        "authorized_official_telephone_number": "916-482-7623"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "22046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE NPI NUMBER",
            "identifier": "1407880719",
            "state": "CA"
        }
    ],
    "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 Aug 20, 2026; 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.