NPIMap

Organization Active NPI

Ncsra Medical Corporation

Doing business as NSCRA, Inc.

  • Specialist
  • Sacramento, CA
National Provider Identifier
1730277344
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NCSRA MEDICAL CORPORATION
Doing business as
NCSRA Medical Corporation
NSCRA, Inc.
Practice address
2801 K St
Suite 410
Sacramento, CA 95816-5119
Phone
(916) 389-7100
Fax
(916) 389-7140
NPI assigned
Oct 10, 2006
Last updated
Aug 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Shenna Kaufusi
Title
Practice Administrator
Phone
(916) 389-7130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

2801 K St
Suite 410
Sacramento, CA 95816-5119

Mailing address

2 Scripps Dr Ste 310
Sacramento, CA 95825-6207
Phone (916) 389-7130

Other names 2

  • NCSRA Medical Corporation Doing business as
  • NSCRA, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050712000223 CA Part B Supplier - Clinic/Group Practice 4587690508 Receives reassigned benefits from 11 practitioners
Practice locations: Sacramento, CA
O20170201001718 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 4587690508 Practice locations: Sacramento, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1730277344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SCRIPPS DR STE 310",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256207",
            "telephone_number": "916-389-7130",
            "fax_number": "916-389-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 K ST",
            "address_2": "SUITE 410",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165119",
            "telephone_number": "916-389-7100",
            "fax_number": "916-389-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NCSRA MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "KAUFUSI",
        "authorized_official_first_name": "SHENNA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "916-389-7130"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NCSRA Medical Corporation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NSCRA, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 21, 2024; 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.