NPIMap

Organization Active NPI

LJ Wolff Medical Corporation

  • Clinical Cardiac Electrophysiology Physician
  • Sacramento, CA
National Provider Identifier
1609041649
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
G34846 Issued in CA
Legal business name
LJ WOLFF MEDICAL CORPORATION
Practice address
5301 F Street
Suite 111
Sacramento, CA 95819-3220
Phone
(916) 451-5603
Fax
(916) 452-1733
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Authorized official

Name
Dr. Larry J Wolff, MD
Title
Physician/Owner
Phone
(916) 451-5603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0001X G34846 CA Primary

Addresses

Primary practice location

5301 F Street
Suite 111
Sacramento, CA 95819-3220

Mailing address

5301 F Street
Suite 111
Sacramento, CA 95819-3220
Phone (916) 451-5603

Other identifiers 2

IdentifierTypeStateIssuer
OOG348460MedicaidCA
1588613749OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1609041649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 F STREET",
            "address_2": "SUITE 111",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193220",
            "telephone_number": "916-451-5603",
            "fax_number": "916-452-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 F STREET",
            "address_2": "SUITE 111",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193220",
            "telephone_number": "916-451-5603",
            "fax_number": "916-452-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LJ WOLFF MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "916-451-5603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "G34846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOG348460",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1588613749",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.