Organization Active NPI

QMC Medical Group

  • Internal Medicine Physician
  • Roseville, CA
National Provider Identifier
1568774602
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G396070 Issued in CA
Legal business name
QMC MEDICAL GROUP
Practice address
729 Sunrise Ave
Suite 604
Roseville, CA 95661-4565
Phone
(916) 390-8394
Fax
(916) 390-8394
NPI assigned
Jul 6, 2010
Last updated
Feb 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Authorized official

Name
Ralph J Delgado, MDNPI 1780650598
Title
Owner
Phone
(916) 390-8394

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
Internal Medicine Physician 207R00000X G396070 CA Primary

Addresses

Primary practice location

729 Sunrise Ave
Suite 604
Roseville, CA 95661-4565

Mailing address

5160 Breese Cir
El Dorado Hills, CA 95762-7656
Phone (916) 390-8394

National Provider Directory

National Provider Directory

Locations

729 Sunrise Ave
Ste 604
Roseville, CA 95661
Phone (916) 782-5100

Practitioners & affiliated clinicians

Practitioners 1

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": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1568774602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5160 BREESE CIR",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957627656",
            "telephone_number": "916-390-8394",
            "fax_number": "888-262-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 SUNRISE AVE",
            "address_2": "SUITE 604",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614565",
            "telephone_number": "916-390-8394",
            "fax_number": "916-390-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QMC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-390-8394",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G396070",
            "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 15, 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.

Verify at the official NPI Registry.