NPIMap

Individual provider Active NPI

Kathleen Puglia, MD

  • Diagnostic Radiology Physician
  • Sacramento, CA
National Provider Identifier
1770673394
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A102977 Issued in CA
Practice address
2801 K St
Suite 502
Sacramento, CA 95816-5120
Phone
(877) 515-0053
Fax
(916) 454-6926
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4831483-1205 UT
Diagnostic Radiology Physician 2085R0202X A102977 CA Primary

Addresses

Primary practice location

2801 K St
Suite 502
Sacramento, CA 95816-5120

Mailing address

10470 Old Placerville Rd
Suite 100
Sacramento, CA 95827-2539
Phone (800) 470-0071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250908000012 ID Practitioner - Diagnostic Radiology 9931193539 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Georgetown University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boise Radiology Group PLLCGroup PAC ID 9638153257, 64 clinicians

Practice addresses (Care Compare)

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2094

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A102977CAMDDiagnostic Radiology Physician
4831483-1205UTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boise Radiology Group PLLC Diagnostic Radiology CurrentSince Aug 25, 2025 Accepting new patients
North Canyon Medical Center, Inc. CurrentSince Aug 1, 2025 Accepting new patients
North Canyon Medical Center Inc. Current Accepting new patients
Weiser Valley Hospital District Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Weiser Valley Hospital District CurrentSince Oct 1, 2025 Accepting new patients
North Canyon Medical Center, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Sutter Valley Medical Foundation Diagnostic Radiology Current Accepting new patients
University of Utah OB Diagnostic Center Diagnostic Radiology PastSince Jun 8, 2013 Accepting new patients
Radiological Associates of Sacramento Medical Group Diagnostic Radiology Past Accepting new patients
University Radiology Associates Diagnostic Radiology PastSince Feb 1, 1997 Accepting new patients

Locations

2700 Low Ct
Fairfield, CA 94534
Phone (707) 432-2500

1661 Creekside Dr
Folsom, CA 95630
Phone (916) 984-0739

1640 E Roseville Pkwy
Ste 100
Roseville, CA 95661
Phone (916) 733-1970

2 Scripps Dr
Ste 110
Sacramento, CA 95825
Phone (916) 929-3393

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

100 E Idaho St
Boise, ID 83712
Phone (208) 343-3223

267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433

645 E 5th St
Weiser, ID 83672
Phone (208) 549-0370

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1770673394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10470 OLD PLACERVILLE RD",
            "address_2": "SUITE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272539",
            "telephone_number": "800-470-0071",
            "fax_number": "916-731-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 K ST",
            "address_2": "SUITE 502",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165120",
            "telephone_number": "877-515-0053",
            "fax_number": "916-454-6926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGLIA",
        "first_name": "KATHLEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "4831483-1205",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A102977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.