Sacramento Ear Nose and Throat Surgical Medical Group Inc

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

SACRAMENTO EAR NOSE AND THROAT SURGICAL MEDICAL GROUP INC

Practice address

3810 J St
Sacramento, CA 95816-5521

Phone

(916) 736-3408

Fax

(916) 233-4171

NPI assigned

Apr 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeff Dudley

Title

Cfo Admin

Phone

(916) 736-3408

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Daniel Abraham Carlton, M.D.

  • Otolaryngology Physician
  • Roseville, CA
  • NPI 1760725683
  NPD
• Eli Robert Groppo, M.D.

  • Otolaryngology Physician
  • Sacramento, CA
  • NPI 1245402338
  NPD

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407073919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 CREEKSIDE DR",
            "address_2": "STE 180",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303492",
            "telephone_number": "916-984-8830",
            "fax_number": "916-984-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 J ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165521",
            "telephone_number": "916-736-3408",
            "fax_number": "916-233-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRAMENTO EAR NOSE AND THROAT SURGICAL MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CFO ADMIN",
        "authorized_official_telephone_number": "916-736-3408"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sacramento County Youth Detention Facility Pharmacy
• Sacramento Dentistry Group
• Sacramento Diagnostics LLC
• Sacramento District Council St. Vincent de Paul Society
• Sacramento Ear Nose & Throat Surgical & Medical Group Inc (Sacramento Ear, Nose, & Throat)
• Sacramento Eye Consultants a Med Corp (Sacramento Eye Consultants)
• Sacramento Family Acupuncture, Inc
• Sacramento Family Home Health Inc (Sacramento Family Home Health)
• Sacramento Family Medical Clinic
• Sacramento Family Medical Clinic

• Otolaryngology Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.