Active NPI
Capitol City Medical Group, Inc
- Bone Densitometry Radiologic Technologist
- Sacramento, CA
National Provider Identifier
1447238092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Bone Densitometry Radiologic Technologist
- Legal business name
- CAPITOL CITY MEDICAL GROUP, INC
- Practice address
- 500 University Ave
Suite 200
Sacramento, CA 95825-6523 - Phone
- (916) 920-1200
- NPI assigned
- Jan 4, 2006
- Last updated
- Sep 11, 2025
- 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
- Rose Mary Ullery
- Title
- Administrator
- Phone
- (916) 920-1200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Bone Densitometry Radiologic Technologist | 2471B0102X | NU | Primary | |
| Primary Care Clinic/Center | 261QP2300X | NU |
Addresses
Primary practice location
500 University Ave
Suite 200
Sacramento, CA 95825-6523
Mailing address
500 University Ave
Suite 200
Sacramento, CA 95825-6523
Phone (916) 920-1200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ61216Z | Other | CA | BLUE SHIELD PROVIDER ID |
| GR0088950 | Medicaid | CA |
Other names 1
- Capital City Medical Group
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1447238092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 UNIVERSITY AVE",
"address_2": "SUITE 200",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958256523",
"telephone_number": "916-920-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 UNIVERSITY AVE",
"address_2": "SUITE 200",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958256523",
"telephone_number": "916-920-1200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPITOL CITY MEDICAL GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-04",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "ULLERY",
"authorized_official_first_name": "ROSE",
"authorized_official_middle_name": "MARY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "916-920-1200"
},
"taxonomies": [
{
"code": "2471B0102X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Bone Densitometry",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROVIDER ID",
"identifier": "ZZZ61216Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0088950",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Capital City Medical Group",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Sacramento, CA
- Capital Senior Care, LLC
- Capital Star (Capital Star Behavior Health)
- Capital Transit
- Capital Vascular Surgeons Medical Group Inc
- Capitol Care LLC
- Capitol City Power Chairs, Inc. (Capitol City Home Medical Supplies)
- Capitol City Power Chairs, Inc.
- Capitol Family Medical Associates, Inc (Capitol Family Medical Associates)
- Capitol Imaging Inc
- Capitol Oral-Systemic Health Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.