Organization Active NPI

Hyperbaric Oxygen Clinic

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Sacramento, CA
National Provider Identifier
1679809032
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
C52426 Issued in CA
Legal business name
HYPERBARIC OXYGEN CLINIC
Practice address
1936 Stockton Blvd
Sacramento, CA 95816-6638
Phone
(916) 420-2673
Fax
(415) 520-6881
NPI assigned
Oct 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Authorized official

Name
Mr. Michael Greenhalgh
Title
Manager
Phone
(916) 420-2673

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0005X C52426 CA Primary
Other TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 247200000X

Addresses

Primary practice location

1936 Stockton Blvd
Sacramento, CA 95816-6638

Mailing address

3104 O St
Suite #375
Sacramento, CA 95816-6519
Phone (916) 420-2673

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1679809032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 O ST",
            "address_2": "SUITE #375",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958166519",
            "telephone_number": "916-420-2673",
            "fax_number": "415-520-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 STOCKTON BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958166638",
            "telephone_number": "916-420-2673",
            "fax_number": "415-520-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYPERBARIC OXYGEN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "GREENHALGH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "916-420-2673",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "CA",
            "license": "C52426",
            "primary": true
        },
        {
            "code": "247200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Mar 13, 2015; 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.