Active NPI
Elk Grove Cardiology Inc
- Cardiovascular Disease Physician
- Sacramento, CA
National Provider Identifier
1780220525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- ELK GROVE CARDIOLOGY INC
- Practice address
- 8120 Timberlake Way Ste 210B
Sacramento, CA 95823-5414 - Phone
- (916) 251-3058
- Fax
- (916) 282-2441
- NPI assigned
- Nov 26, 2019
- Last updated
- Jan 22, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chrystel Mower
- Title
- Practice Manager
- Phone
- (775) 622-7312
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | NU | Primary |
Addresses
Primary practice location
8120 Timberlake Way Ste 210B
Sacramento, CA 95823-5414
Mailing address
8120 Timberlake Way Ste 210B
Sacramento, CA 95823-5414
Phone (916) 251-3058
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Sacramento | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8290 Elk Grove Blvd
Ste 100
Elk Grove, CA 95758
Phone (916) 251-3058
8120 Timberlake Way
Ste 210B
Sacramento, CA 95823
Phone (916) 251-3058
Practitioners & affiliated clinicians
Practitioners 10
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.
-
- Cardiovascular Disease Physician
- Sacramento, CA
- NPI 1720266059
-
- Physician Assistant
- West Sacramento, CA
- NPI 1740844596
-
- Physician Assistant
- Sacramento, CA
- NPI 1295390672
-
- Psychiatric/Mental Health Nurse Practitioner
- Panorama City, CA
- NPI 1386315729
-
- Mental Health Counselor
- Colusa, CA
- NPI 1881927820
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Sacramento, CA
- NPI 1467682260
Multi-Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Stockton, CA
- NPI 1891518932
-
- Physician Assistant
- Mountain View, CA
- NPI 1356032478
Cardiovascular Disease
-
- Physician Assistant
- Elk Grove, CA
- NPI 1366377962
-
- Physician Assistant
- Elk Grove, CA
- NPI 1689590598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611273600000",
"number": "1780220525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8120 TIMBERLAKE WAY STE 210B",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958235414",
"telephone_number": "916-251-3058",
"fax_number": "916-282-2441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8120 TIMBERLAKE WAY STE 210B",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958235414",
"telephone_number": "916-251-3058",
"fax_number": "916-282-2441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELK GROVE CARDIOLOGY INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-26",
"last_updated": "2021-01-22",
"certification_date": "2021-01-22",
"status": "A",
"authorized_official_last_name": "MOWER",
"authorized_official_first_name": "CHRYSTEL",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "775-622-7312"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Sacramento",
"affiliation": "N",
"endpointDescription": "elk grove cardiology",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8120 Timberlake Way Ste 210B",
"city": "Sacramento",
"state": "CA",
"country_code": "US",
"postal_code": "958235414",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 22, 2021; 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.