Greater Sacramento Med Clinic

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A37275 Issued in CA

Legal business name

GREATER SACRAMENTO MED CLINIC

Practice address

515 Michigan Blvd
West Sacramento, CA 95691-2705

Phone

(916) 363-8888

NPI assigned

Nov 4, 2010

Organization subpart

No

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

Authorized official

Name

Trung Thanh Ngo, M.D.

Title

President

Phone

(916) 363-8888

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1598066748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MICHIGAN BLVD",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956912705",
            "telephone_number": "916-363-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MICHIGAN BLVD",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956912705",
            "telephone_number": "916-363-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER SACRAMENTO MED CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "TRUNG",
        "authorized_official_middle_name": "THANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-363-8888",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A37275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronell Lawrence Gordon II
• Shaira A Gordon
• Sharon Kay Grable, MFT
• Dana Nicole Graham
• Aaron Graves
• Daria Gregory, PAC
• Gabriella Grijlava
• Stephen Dorian Grove
• GRV a California Corporation
• Elena Guslikov, NP

• General Practice Physician in West Sacramento, CA
• Providers in West Sacramento, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.