Organization Active NPI

Aiogen Medical Therapy Unit

  • Multi-Specialty Clinic/Center
  • Sacramento, CA
National Provider Identifier
1104574458
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
AIOGEN MEDICAL THERAPY UNIT
Practice address
2626 La Mesa Way
Sacramento, CA 95825-0337
Phone
(415) 710-6439
NPI assigned
Mar 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Authorized official

Name
Mr. Jonathon Ryan Brown
Title
Director
Phone
(415) 770-8242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2626 La Mesa Way
Sacramento, CA 95825-0337

Mailing address

2626 La Mesa Way
Sacramento, CA 95825-0337
Phone (415) 710-6439

National Provider Directory

National Provider Directory

Locations

2626 La Mesa Way
Sacramento, CA 95825
Phone (415) 710-6439

NPI Registry JSON

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1104574458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 LA MESA WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958250337",
            "telephone_number": "415-710-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 LA MESA WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958250337",
            "telephone_number": "415-710-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIOGEN MEDICAL THERAPY UNIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "415-770-8242",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "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 Mar 16, 2022; 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.