Kody Sacks-Moynihan, M.D., Inc.

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

KODY SACKS-MOYNIHAN, M.D., INC.

Practice address

4001 J St
Sacramento, CA 95819-3626

Phone

(916) 756-9805

NPI assigned

Feb 6, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Kody Sacks-Moynihan, MDNPI 1508494501

Title

President

Phone

(530) 304-5639

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kody Dylan Sacks-Moynihan

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1508494501
  NPD Authorized official

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1215633805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 SAN SEBASTIAN ST",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956186515",
            "telephone_number": "530-304-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 J ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193626",
            "telephone_number": "916-756-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KODY SACKS-MOYNIHAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-04",
        "status": "A",
        "authorized_official_last_name": "SACKS-MOYNIHAN",
        "authorized_official_first_name": "KODY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-304-5639",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenny Kobashi
• Bridget Maureen Koch-Timothy, PSY.D.
• Eric R Koch, PH.D.
• Robert Allen Koch, D.D.S.
• Raham Kodadad
• Max B Koe, RPH
• Brian Koeberle, R.N.
• Sara Louise Koehler, M.D.
• Laraine K Koen
• Ian Koenes

• Emergency Care Clinic/Center in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Emergency Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.