Prenatal Diagnosis of Northern California Medical Group Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

189620 Issued in CA

Legal business name

PRENATAL DIAGNOSIS OF NORTHERN CALIFORNIA MEDICAL GROUP INC.

Practice address

1111 Exposition Blvd.
BLDG. 200
Sacramento, CA 95815-4324

Phone

(916) 736-6888

Fax

(916) 779-3260

NPI assigned

May 29, 2007

Organization subpart

No

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

Authorized official

Name

Douglas Hershey, M.D.

Title

Medical Director

Phone

(916) 736-6888

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1649471798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 EXPOSITION BLVD.",
            "address_2": "BLDG. 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154324",
            "telephone_number": "916-736-6888",
            "fax_number": "916-779-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 EXPOSITION BLVD.",
            "address_2": "BLDG. 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154324",
            "telephone_number": "916-736-6888",
            "fax_number": "916-779-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRENATAL DIAGNOSIS OF NORTHERN CALIFORNIA MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "HERSHEY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "916-736-6888",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "189620",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF10469",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G189620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Sacramento, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.