Mimi K. Sato-Re, MD Medical Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A61185 Issued in CA

Legal business name

MIMI K. SATO-RE, MD MEDICAL CORPORATION

Practice address

1600 Creekside Dr
Suite 3300
Folsom, CA 95630-3444

Phone

(916) 983-7200

Fax

(916) 983-8591

NPI assigned

Mar 2, 2008

Last updated

Apr 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mimi Kiyoko Sato-Re, M.D.NPI 1649372921

Title

Owner

Phone

(916) 983-7200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mimi Kiyoko Sato-Re, M.D.

  • Family Medicine Physician
  • Sacramento, CA
  • NPI 1649372921
  Medicare reassignment Authorized official
• Kimberly Rudnicki, NP

  • Family Nurse Practitioner
  • El Dorado Hills, CA
  • NPI 1376110882
  Medicare reassignment

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

{
    "created_epoch": "1204416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1699945063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CREEKSIDE DR",
            "address_2": "SUITE 3300",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303444",
            "telephone_number": "916-983-7200",
            "fax_number": "916-983-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CREEKSIDE DR",
            "address_2": "SUITE 3300",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303444",
            "telephone_number": "916-983-7200",
            "fax_number": "916-983-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIMI K. SATO-RE, MD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "SATO-RE",
        "authorized_official_first_name": "MIMI",
        "authorized_official_middle_name": "KIYOKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-983-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A61185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikeila Miller
• Thea N Miller
• Thomas Owen Miller, MD
• Michael Harris Millman, PH.D.
• Chelsea Anne Mills, MD
• Minds Moving Forward, L.L.C.
• Huda Minhas, O.D.
• Debra Mintz-Sullivan, PHARM.D.
• Dee Jay Nery Miranda, MD
• Mission Care Pediatrics,Inc.

• Primary Care Clinic/Center in Folsom, CA
• Providers in Folsom, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.