NPIMap

Organization Active NPI

County of Sacramento

  • Radiology Clinic/Center
  • Sacramento, CA
National Provider Identifier
1508936030
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
COUNTY OF SACRAMENTO
Practice address
4600 Broadway Ste 1300
Sacramento, CA 95820-1527
Phone
(916) 874-9823
Fax
(916) 874-9442
NPI assigned
Nov 9, 2006
Last updated
Apr 25, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF SACRAMENTOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Authorized official

Name
Mrs. Quaita L. Stucker
Title
Senior Account Clerk
Phone
(916) 875-1416

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 05D0616630 CA
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

4600 Broadway Ste 1300
Sacramento, CA 95820-1527

Mailing address

7001-A East Parkway Ste. 600
Sacramento, CA 95823-2501
Phone (916) 875-5881

Other identifiers 3

IdentifierTypeStateIssuer
ZZR11521FMedicaidCA
EXE70041FMedicaidCA
05D0616630OtherCACLIA NUMBER

Other names 1

  • Chest Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110801000770 CA Part B Supplier - Clinic/Group Practice 0345231247 Receives reassigned benefits from 45 practitioners
23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sacramento, CA; Galt, CA; Rio Linda, CA

Other NPIs on the same Medicare enrollment 23

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 23

National Provider Directory

National Provider Directory
Tax ID family
Sacramento County Fire88 organizations share this tax ID, including this one
Part of
Sacramento County Fire

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

7805 Auburn Blvd
Citrus HTS, CA 95610
Phone (916) 969-2724

1321 N C St
Sacramento, CA 95811
Phone (916) 875-9744

1400 A St
Bldg A
Sacramento, CA 95811
Phone (916) 440-1500

3331 Power Inn Rd
Ste 140
Sacramento, CA 95826
Phone (916) 875-1183

3727 Marconi Ave
Sacramento, CA 95821
Phone (916) 480-1801

3870 Rosin Ct
Ste 140
Sacramento, CA 95834

3950 Research Dr
Sacramento, CA 95838
Phone (916) 648-0970

4600 Broadway
#1100
Sacramento, CA 95820
Phone (916) 874-9670

4600 Broadway
#1300
Sacramento, CA 95820
Phone (916) 874-9670

4801 34th St
Sacramento, CA 95820
Phone (916) 737-9202

7001 East Pkwy
#A
Sacramento, CA 95823
Phone (916) 875-5701

7222 24th St
Sacramento, CA 95822
Phone (916) 395-4580

7273 14th Ave
Ste 120B
Sacramento, CA 95820
Phone (916) 383-6783

9719 Lincoln Village Dr
Ste 300
Sacramento, CA 95827

9719 Lincoln Village Dr
Ste 605B
Sacramento, CA 95827
Phone (916) 875-6860

Practitioners & affiliated clinicians

Practitioners 383

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 383

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1508936030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001-A EAST PARKWAY STE. 600",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232501",
            "telephone_number": "916-875-5881",
            "fax_number": "916-875-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 BROADWAY STE 1300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958201527",
            "telephone_number": "916-874-9823",
            "fax_number": "916-874-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SACRAMENTO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SACRAMENTO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "STUCKER",
        "authorized_official_first_name": "QUAITA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SENIOR ACCOUNT CLERK",
        "authorized_official_telephone_number": "916-875-1416",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "05D0616630",
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR11521F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EXE70041F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "05D0616630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chest Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.