Active NPI
Apollo Physicans Medical Group
- Family Medicine Physician
- Sacramento, CA
National Provider Identifier
1124405584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A114684
- Legal business name
- APOLLO PHYSICANS MEDICAL GROUP
- Practice address
- 8191 Timberlake Way
Suite 200
Sacramento, CA 95823-5418 - Phone
- (916) 236-5800
- Fax
- (916) 266-7473
- NPI assigned
- May 5, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ramandeep Dhaliwal, M.D.
- Title
- President
- Phone
- (916) 802-3623
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A114684 | CA | Primary |
Addresses
Primary practice location
8191 Timberlake Way
Suite 200
Sacramento, CA 95823-5418
Mailing address
8191 Timberlake Way
Suite 200
Sacramento, CA 95823-5418
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Apollo Physicans Med GRP
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Roseville, CA
- NPI 1346756988
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Roseville, CA
- NPI 1982892659
-
- Internal Medicine Physician
- Sacramento, CA
- NPI 1871725895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431648000000",
"number": "1124405584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8191 TIMBERLAKE WAY",
"address_2": "SUITE 200",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958235418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8191 TIMBERLAKE WAY",
"address_2": "SUITE 200",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958235418",
"telephone_number": "916-236-5800",
"fax_number": "916-266-7473"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APOLLO PHYSICANS MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-05",
"last_updated": "2015-05-15",
"status": "A",
"authorized_official_last_name": "DHALIWAL",
"authorized_official_first_name": "RAMANDEEP",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "916-802-3623",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A114684",
"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 May 15, 2015; 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.