Sac City MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SAC CITY MD

Practice address

8120 Timberlake Way Ste 108
Sacramento, CA 95823-5413

Phone

(916) 252-5000

Fax

(916) 245-3252

NPI assigned

Sep 29, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Malathi Shanmugam, MDNPI 1356509608

Title

President

Phone

(916) 252-5000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Malathi Shanmugam, MD

  • Family Medicine Physician
  • Sacramento, CA
  • NPI 1356509608
  Medicare reassignment NPD Authorized official
• Sabah Roheen Khan, PA

  • Physician Assistant
  • Sacramento, CA
  • NPI 1427846864
  Medicare reassignment
• Lyshawn Xatiy Phommakhoth

  • Physician Assistant
  • Sacramento, CA
  • NPI 1306627260
  Medicare reassignment
• Mandeep Kaur, FNP

  • Nurse Practitioner
  • Sacramento, CA
  • NPI 1881466613
  NPD
• Devonne Annette Ortiz, FNP

  • Family Nurse Practitioner
  • Elk Grove, CA
  • NPI 1376846527
  NPD

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1679180939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 TIMBERLAKE WAY STE 108",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235413",
            "telephone_number": "916-252-5000",
            "fax_number": "916-245-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 TIMBERLAKE WAY STE 108",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235413",
            "telephone_number": "916-252-5000",
            "fax_number": "916-245-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAC CITY MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "SHANMUGAM",
        "authorized_official_first_name": "MALATHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-252-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reya Sabio, REGISTERED NURSE
• Sable Media
• Anthony J.T. Sabo, D.O.
• Todd A Sabourin
• Joseph Sabula, NP-C
• Sac Connect
• Sac Kids Eyes Inc
• Sac Royal Med Trans
• Rahul Sachdev
• Rahul Sachdeva, M.D.

• Family Medicine Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.