Western Sierra Psychiatric Group

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

20A5621 Issued in CA

Legal business name

WESTERN SIERRA PSYCHIATRIC GROUP

Practice address

1409 28TH St
#200
Sacramento, CA 95816-6422

Phone

(916) 451-5294

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Bruce Wenokur

Title

Psychiatrist

Phone

(916) 451-5294

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639235294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 28TH ST",
            "address_2": "#200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958166422",
            "telephone_number": "916-451-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 28TH ST",
            "address_2": "#200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958166422",
            "telephone_number": "916-451-5294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN SIERRA PSYCHIATRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WENOKUR",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "916-451-5294"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CA",
            "license": "20A5621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY NUMBER",
            "identifier": "$$$$$$$$$",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Addiction Psychiatry Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Addiction Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.