Sacramento Ultrasound, Inc.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

RHT 102230 Issued in CA

Legal business name

SACRAMENTO ULTRASOUND, INC.

Practice address

2233 Watt Ave
Suite 150
Sacramento, CA 95825-0509

Phone

(916) 752-7750

Fax

(916) 487-4032

NPI assigned

Sep 14, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Sima Dermishyan

Title

Diagnostic Medical Sonographer

Phone

(916) 752-7750

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1578845657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 WATT AVE",
            "address_2": "SUITE 150",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958250509",
            "telephone_number": "916-752-7750",
            "fax_number": "916-487-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 WATT AVE",
            "address_2": "SUITE 150",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958250509",
            "telephone_number": "916-752-7750",
            "fax_number": "916-487-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRAMENTO ULTRASOUND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "DERMISHYAN",
        "authorized_official_first_name": "SIMA",
        "authorized_official_title_or_position": "DIAGNOSTIC MEDICAL SONOGRAPHER",
        "authorized_official_telephone_number": "916-752-7750",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "RHT 102230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiology Clinic/Center in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.