Organization Active NPI

Sacramento Medical Group

  • General Practice Physician
  • Rancho Cordova, CA
National Provider Identifier
1275805277
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SACRAMENTO MEDICAL GROUP
Practice address
2708 Mercantile Dr.
Rancho Cordova, CA 95742-0959
Phone
(916) 387-6929
Fax
(916) 387-6977
NPI assigned
Feb 7, 2012
Last updated
Feb 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Authorized official

Name
David E Root, M.D., M.P.H.
Title
Medical Director
Phone
(916) 387-6929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

2708 Mercantile Dr.
Rancho Cordova, CA 95742-0959

Mailing address

15 Business Park Way Ste 111
Sacramento, CA 95828-0959
Phone (916) 387-6929

National Provider Directory

National Provider Directory

Locations

2708 Mercantile Dr
Rancho Cordova, CA 95742
Phone (408) 420-2447

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1275805277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BUSINESS PARK WAY STE 111",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958280959",
            "telephone_number": "916-387-6929",
            "fax_number": "916-387-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 MERCANTILE DR.",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957420959",
            "telephone_number": "916-387-6929",
            "fax_number": "916-387-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRAMENTO MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "ROOT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "916-387-6929",
        "authorized_official_credential": "M.D., M.P.H."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.