NPIMap

Organization Active NPI

Sacramento Radiology Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Roseville, CA
National Provider Identifier
1386811230
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SACRAMENTO RADIOLOGY MEDICAL GROUP, INC.
Practice address
2110 Professional Dr
Suite 190
Roseville, CA 95661-3752
Phone
(916) 787-0404
Fax
(916) 787-0434
NPI assigned
May 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Ms. Sigrid Owyang
Title
Executive Director
Phone
(916) 363-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

2110 Professional Dr
Suite 190
Roseville, CA 95661-3752

Mailing address

PO Box 276010
Sacramento, CA 95827-6010
Phone (916) 363-4040

Other identifiers 2

IdentifierTypeStateIssuer
GR001137JOtherCAMEDI-CAL
ZZZ17569ZOtherBLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
Sacramento Radiology 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.

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1386811230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276010",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958276010",
            "telephone_number": "916-363-4040",
            "fax_number": "916-363-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 PROFESSIONAL DR",
            "address_2": "SUITE 190",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613752",
            "telephone_number": "916-787-0404",
            "fax_number": "916-787-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRAMENTO RADIOLOGY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "OWYANG",
        "authorized_official_first_name": "SIGRID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-363-4040",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "GR001137J",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ17569Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.