Sacramento Valley Pediatric Medical Group Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SACRAMENTO VALLEY PEDIATRIC MEDICAL GROUP INC.

Practice address

7501 Hospital Dr
Suite 203
Sacramento, CA 95823-5405

Phone

(916) 681-1130

Fax

(916) 681-1133

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lourdes Bravo Navea, P.A.

Title

Corporate Vice President

Phone

(916) 681-1130

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Pediatric Medical Center of Sacramento2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sacramento Valley Pediatrics Medical Group Inc

  • Pediatric Nurse Practitioner
  • Sacramento, CA
  • NPI 1326583030
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Perla-Inez Resuello Maulino, M.D.

  • Pediatrics Physician
  • Sacramento, CA
  • NPI 1477572667
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851423883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 HOSPITAL DR",
            "address_2": "SUITE 203",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235405",
            "telephone_number": "916-681-1130",
            "fax_number": "916-681-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 HOSPITAL DR",
            "address_2": "SUITE 203",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235405",
            "telephone_number": "916-681-1130",
            "fax_number": "916-681-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRAMENTO VALLEY PEDIATRIC MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAVEA",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_middle_name": "BRAVO",
        "authorized_official_title_or_position": "CORPORATE VICE PRESIDENT",
        "authorized_official_telephone_number": "916-681-1130",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0077590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sacramento Transformation Center
• Sacramento Ultrasound, Inc.
• Sacramento Valley Ambulance Inc.
• Sacramento Valley Counseling Partners
• Sacramento Valley Nursing Service, Inc
• Sacramento Valley Pediatrics Medical Group Inc
• Sacramento Valley Psychiatry
• Sacramento Van Conversions, Inc.
• Sacramento Wellness Center
• Sacramento Youth Center

• Pediatrics Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Pediatrics Physician in California

• 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 Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.