NPIMap

Organization Active NPI

Radiological Associates of Sacramento Medical Group, Inc.

  • Urology Physician
  • Sacramento, CA
National Provider Identifier
1245668300
Registry record updated Oct 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A37811 Issued in CA
Legal business name
RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP, INC.
Practice address
77 Cadillac Dr
Suite 130/180
Sacramento, CA 95825-5453
Phone
(916) 900-3993
Fax
(916) 614-9095
NPI assigned
Oct 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2013

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

Authorized official

Name
Dr. Jonathan Breslau, M.D.
Title
President
Phone
(916) 646-8300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X A37811 CA Primary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X A116274 CA

Addresses

Primary practice location

77 Cadillac Dr
Suite 130/180
Sacramento, CA 95825-5453

Mailing address

1500 Expo Parkway
Sacramento, CA 95815
Phone (916) 646-8300

National Provider Directory

National Provider Directory
Tax ID family
Radiological Associates of Sacramento Medical Group Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

77 Cadillac Dr
Ste 130180
Sacramento, CA 95825
Phone (916) 900-3993

NPI Registry JSON

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

{
    "created_epoch": "1382918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382918400000",
    "number": "1245668300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 EXPO PARKWAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95815",
            "telephone_number": "916-646-8300",
            "fax_number": "916-561-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CADILLAC DR",
            "address_2": "SUITE 130/180",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958255453",
            "telephone_number": "916-900-3993",
            "fax_number": "916-614-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-28",
        "last_updated": "2013-10-28",
        "status": "A",
        "authorized_official_last_name": "BRESLAU",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-646-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "A37811",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "A116274",
            "primary": false
        }
    ],
    "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 Oct 28, 2013; 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.