Active NPI
Radiological Associates of Sacramento Medical Group
- Neuroradiology Physician
- Auburn, CA
National Provider Identifier
1508847096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- Legal business name
- RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP
- Practice address
- 3123 Professional Dr
Ste 100
Auburn, CA 95603-2462 - Phone
- (530) 888-8878
- Fax
- (530) 888-7635
- NPI assigned
- Nov 10, 2005
- Last updated
- Oct 27, 2011
- 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
- Dr. Jonathan Breslau, M.D.
- Title
- President
- Phone
- (916) 646-8300
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | NU | ||
| Nuclear Cardiology Physician | 207UN0901X | NU | ||
| Nuclear Imaging & Therapy Physician | 207UN0902X | NU | ||
| In Vivo & In Vitro Nuclear Medicine Physician | 207UN0903X | NU | ||
| Body Imaging Physician | 2085B0100X | CA | ||
| Neuroradiology Physician | 2085N0700X | NU | Primary | |
| Nuclear Radiology Physician | 2085N0904X | NU | ||
| Diagnostic Radiology Physician | 2085R0202X | CA | ||
| Therapeutic Radiology Physician | 2085R0203X | NU | ||
| Vascular & Interventional Radiology Physician | 2085R0204X | NU | ||
| Radiological Physics Physician | 2085R0205X | NU | ||
| Diagnostic Ultrasound Physician | 2085U0001X | CA |
Addresses
Primary practice location
3123 Professional Dr
Ste 100
Auburn, CA 95603-2462
Mailing address
1500 Expo Pkwy
Sacramento, CA 95815-4227
Phone (916) 646-8406
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR002851R | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319673600000",
"number": "1508847096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 EXPO PKWY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958154227",
"telephone_number": "916-646-8406",
"fax_number": "916-920-4434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3123 PROFESSIONAL DR",
"address_2": "STE 100",
"city": "AUBURN",
"state": "CA",
"postal_code": "956032462",
"telephone_number": "530-888-8878",
"fax_number": "530-888-7635"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-10",
"last_updated": "2011-10-27",
"status": "A",
"authorized_official_last_name": "BRESLAU",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "916-646-8300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207UN0902X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207UN0903X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, In Vivo & In Vitro Nuclear Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0205X",
"taxonomy_group": "",
"desc": "Radiology, Radiological Physics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR002851R",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Auburn, CA
- Lynnel Queen, MA
- Raad Al-Shaikh MD Inc. (auburn/grass valley orthopaedic specialists)
- Radiological Associates of Sacramento Medical Group
- Radiological Associates of Sacramento Medical Group
- Radiological Associates of Sacramento Medical Group
- Radiological Associates of Sacramento Medical Group
- Lisa A Ragsdale-Coffman, LCSW
- Raleys
- Elena Alekseyevna Ralik, MD
- Bertha Adriana Ramirez Magana, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.