NPIMap

Organization Active NPI

Northern California Cardiology Associates Medical Group Inc

  • Cardiovascular Disease Physician
  • Sacramento, CA
National Provider Identifier
1467444711
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
207RC0000X Issued in CA
Legal business name
NORTHERN CALIFORNIA CARDIOLOGY ASSOCIATES MEDICAL GROUP INC
Practice address
5301 F St
#117
Sacramento, CA 95819-3226
Phone
(916) 733-1788
Fax
(916) 733-1787
NPI assigned
Aug 22, 2005
Last updated
Oct 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Authorized official

Name
Dr. William R. Vetter, M.D.NPI 1457349938
Title
President
Phone
(916) 733-1788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 207RC0000X CA Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X 207RC0001X CA
Interventional Cardiology Physician 207RI0011X 207R10011X CA
Nuclear Cardiology Physician 207UN0901X 207UN0901X CA

Addresses

Primary practice location

5301 F St
#117
Sacramento, CA 95819-3226

Mailing address

1330 21St Street #201
C/O Midtown Financial
Sacramento, CA 95811-4231
Phone (916) 561-6848

Other identifiers 12

IdentifierTypeStateIssuer
DA7085OtherCARAILROAD MEDICARE PIN
ZZZ07524ZOtherCABLUE SHIELD OF CA
ZZZ08053ZOtherCABLUE SHIELD OF CA
ZZZ07522ZOtherCABLUE SHIELD OF CA
GR0063160MedicaidCA
DB9095OtherCARAILROAD MEDICARE PIN
GR0063161MedicaidCA
GR0063162MedicaidCA
GR0063163MedicaidCA
ZZZ66346ZOtherCABLUE SHIELD OF CA
GR0063164MedicaidCA
ZZZ075232OtherCABLUE SHIELD OF CA

National Provider Directory

National Provider Directory

Locations

6600 Mercy Ct
Fair Oaks, CA 95628
Phone (916) 864-8520

1010 Hurley Way
Ste 475
Sacramento, CA 95825

1330 21st St
Ste 201
Sacramento, CA 95811
Phone (916) 447-9300

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1467444711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 21ST STREET #201",
            "address_2": "C/O MIDTOWN FINANCIAL",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958114231",
            "telephone_number": "916-561-6848",
            "fax_number": "916-447-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 F ST",
            "address_2": "#117",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193226",
            "telephone_number": "916-733-1788",
            "fax_number": "916-733-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CALIFORNIA CARDIOLOGY ASSOCIATES MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "VETTER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-733-1788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "207RC0000X",
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "207RC0001X",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "207R10011X",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "CA",
            "license": "207UN0901X",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "DA7085",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ07524Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ08053Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ07522Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0063160",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "DB9095",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0063161",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0063162",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0063163",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ66346Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0063164",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ075232",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.