NPIMap

Organization Active NPI

Greater Sacramento Pediatrics Assoc Inc

  • Health Service Clinic/Center
  • Roseville, CA
National Provider Identifier
1528196565
Registry record updated Feb 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
GREATER SACRAMENTO PEDIATRICS ASSOC INC
Practice address
1301 Secret Ravine Pkwy
Suite 140
Roseville, CA 95661-3102
Phone
(916) 788-3030
Fax
(916) 788-0171
NPI assigned
Mar 1, 2007
Last updated
Feb 23, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
GREATER SACRAMENTO PEDIATRICS ASSOC INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2013

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

Authorized official

Name
Mehdi Arab, M.D.NPI 1780628875
Title
President
Phone
(916) 965-4612

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

1301 Secret Ravine Pkwy
Suite 140
Roseville, CA 95661-3102

Mailing address

6555 Coyle Ave
Suite 310
Carmichael, CA 95608-0302
Phone (916) 788-3030

National Provider Directory

National Provider Directory
Tax ID family
General Services for Pediatrics4 organizations share this tax ID, including this one
Part of
General Services for Pediatrics

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1301 Secret Ravine Pkwy
Ste 140
Roseville, CA 95661
Phone (916) 788-3030

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361577600000",
    "number": "1528196565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 COYLE AVE",
            "address_2": "SUITE 310",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080302",
            "telephone_number": "916-788-3030",
            "fax_number": "916-788-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SECRET RAVINE PKWY",
            "address_2": "SUITE 140",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613102",
            "telephone_number": "916-788-3030",
            "fax_number": "916-788-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER SACRAMENTO PEDIATRICS ASSOC INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREATER SACRAMENTO PEDIATRICS ASSOC INC",
        "enumeration_date": "2007-03-01",
        "last_updated": "2013-02-23",
        "status": "A",
        "authorized_official_last_name": "ARAB",
        "authorized_official_first_name": "MEHDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-965-4612",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2013; 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.