Active NPI
Sacramento Heart & Vascualer
- Specialist
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- SACRAMENTO HEART & VASCUALER
- Practice address
- 8120 Timberlake Way Ste 207
Sacramento, CA 95823-5414 - Phone
- (916) 688-1600
- NPI assigned
- Aug 19, 2006
- 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
- Mrs. Karen Gergen
- Title
- Administrator
- Phone
- (916) 830-2046
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
8120 Timberlake Way Ste 207
Sacramento, CA 95823-5414
Mailing address
8120 Timberlake Way Ste 207
Sacramento, CA 95823-5414
Phone (916) 688-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040810001153 | CA | Part B Supplier - Clinic/Group Practice | 8628040623 |
Receives reassigned benefits from 17 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Sacramento, CA; Jackson, CA; Davis, CA |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Sacramento Heart and Vascular Medical
- Cardiovascular Disease Physician
- Sacramento, CA
- NPI 1093767063
O20040810001153
National Provider Directory
National Provider Directory- Tax ID family
- Sacramento Heart and Vascular Medical
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Davis, CA
- NPI 1730293309
-
dba Sacramento Heart and Vascular Medical
- Cardiovascular Disease Physician
- Sacramento, CA
- NPI 1093767063
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1811001472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8120 TIMBERLAKE WAY STE 207",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958235414",
"telephone_number": "916-688-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8120 TIMBERLAKE WAY STE 207",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958235414",
"telephone_number": "916-688-1600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SACRAMENTO HEART & VASCUALER",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GERGEN",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "916-830-2046",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
- Sacramento Foot and Ankle Center, Inc.
- Sacramento Gastroenterology Medical Group, Inc.
- Sacramento GC Assisted Living, LLC (Greenhaven Estates)
- Sacramento Hand Rehabilitation Inc
- Sacramento Hearing Services Center, Inc. (Agency For Hearing)
- Sacramento Heart & Vascular Medical (Sacramento Heart and Vascular Medical)
- Sacramento Heart Ambulatory Surgery Center, Inc
- Sacramento Home Medical LLC
- Sacramento Hospice and Palliative Care
- Sacramento Institute for Psychotherapy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.