NPIMap

Organization Active NPI

Sacramento Radiology Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Carmichael, CA
National Provider Identifier
1679740526
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SACRAMENTO RADIOLOGY MEDICAL GROUP, INC.
Practice address
6660 Coyle Ave
Suite 200
Carmichael, CA 95608-6335
Phone
(916) 965-1913
Fax
(916) 863-1218
NPI assigned
May 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Ms. Sigrid Owyang
Title
Executive Director
Phone
(916) 363-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

6660 Coyle Ave
Suite 200
Carmichael, CA 95608-6335

Mailing address

PO Box 276010
Sacramento, CA 95827-6010
Phone (916) 363-4040

Other identifiers 2

IdentifierTypeStateIssuer
GR0011373OtherCAMEDI-CAL
ZZZ17568ZOtherBLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
Sacramento Radiology Medical Group Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1679740526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276010",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958276010",
            "telephone_number": "916-363-4040",
            "fax_number": "916-363-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6660 COYLE AVE",
            "address_2": "SUITE 200",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086335",
            "telephone_number": "916-965-1913",
            "fax_number": "916-863-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRAMENTO RADIOLOGY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "OWYANG",
        "authorized_official_first_name": "SIGRID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-363-4040",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "GR0011373",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ17568Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.