County of Sacramento
Organization Active NPI Radiology Clinic/Center · Sacramento, CA
NPI 1508936030 · NPPES record last updated Apr 25, 2019
Key facts
- NPI
- 1508936030
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiology Clinic/Center 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
- Organization subpart
- Yes
- Parent organization (as reported)
- COUNTY OF SACRAMENTO
Authorized official
- Name
- Mrs. Quaita L. Stucker
- Title
- Senior Account Clerk
- Phone
- (916) 875-1416
Other NPIs on the same Medicare enrollment 23
Corporate family (same tax ID) 24
Practitioners 382
-
Jacqueline Abdalla, M.D.
-
Nancy Abdelmalak, M.D.
-
Takeshi Abe, MFT
-
Alicia Agnoli, MD
-
Jesus Zuniga Aguado, NURSE PRACTITIONER
-
Roger S Akins, D.O.
-
Edris Aman, M.D.
-
Cynthia Diana Amos, IMF
-
Mustafa Kamal Ansari, M.D.
-
Roberto L Assadabadi, P.A.
-
Kwame Bodor-Tsia Atsina, M.D.
-
Cyrus Bateni, M.D.
-
Alison Noel Berkeyheiser, AGNP
-
Samhita Bhargava, MD
-
David Philip Bissig, M.D., PH.D.
-
Sharon A Blosk, M.D.
-
Thea Elizabeth Bregman, M.D.
-
Heather Marie Briggs, LMFT
-
Shamika Brooks, ARNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Capital Health Center
- Part of
- Capital Health Center
Locations
7805 Auburn Blvd
Citrus HTS, CA 95610
Phone (916) 969-2724
505 M St
Rio Linda, CA 95673
Phone (916) 287-4067
3727 Marconi Ave
Sacramento, CA 95821
Phone (916) 480-1801
4600 Broadway
Ste 2300
Sacramento, CA 95820
Phone (916) 874-9231
2130 Stockton Blvd
Sacramento, CA 95817
Phone (916) 520-2460
1321 N C St
Sacramento, CA 95811
Phone (916) 447-1389
2921 Stockton Blvd
Sacramento, CA 95817
Phone (916) 874-9670
7222 24th St
Sacramento, CA 95822
Phone (916) 395-4580
2140 Stockton Blvd
Sacramento, CA 95817
Phone (916) 875-0701
6950 65th St
Sacramento, CA 95823
Phone (916) 422-5200
9719 Lincoln Village Dr
Ste 605B
Sacramento, CA 95827
Phone (916) 875-6860
3870 Rosin Ct
Ste 140
Sacramento, CA 95834
1400 A St
Bldg A
Sacramento, CA 95811
Phone (916) 440-1500
4600 Broadway
#1100
Sacramento, CA 95820
Phone (916) 874-9670
9719 Lincoln Village Dr
Ste 300
Sacramento, CA 95827
4600 Broadway
#1300
Sacramento, CA 95820
Phone (916) 874-9670
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | 05D0616630 | CA | |
| Radiology Clinic/Center | 261QR0200X | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EXE70041F | Medicaid | CA | |
| ZZR11521F | Medicaid | CA | |
| 05D0616630 | Other | CA | CLIA NUMBER |
Other names
- Chest Clinic
Other providers in Sacramento, CA
- County of Sacramento
- County of Sacramento
- County of Sacramento
- County of Sacramento
- County of Sacramento
- County of Sacramento
- County of Sacramento
- County of Sacramento
- County of Sacramento
- County of Sacramento
All providers in Sacramento, CA · Radiology Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.