Active NPI
Sacramento Medical Group
- General Practice Physician
- Rancho Cordova, CA
National Provider Identifier
1275805277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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, 2012
- 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
- David E Root, M.D., M.P.H.
- Title
- Medical Director
- Phone
- (916) 387-6929
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Chiropractor
- Rancho Cordova, CA
- NPI 1881966273
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.