Organization Active NPI

West Coast Medical Care Professional Corporation

  • Adult Medicine Physician
  • Sacramento, CA
National Provider Identifier
1861888331
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
A93634 Issued in CA
Legal business name
WEST COAST MEDICAL CARE PROFESSIONAL CORPORATION
Practice address
5350 Madison Ave
Sacramento, CA 95841-3169
Phone
(916) 677-0008
Fax
(916) 515-9994
NPI assigned
Apr 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Authorized official

Name
Dr. Aleksander Usorov, MD
Title
Owner/Provider
Phone
(916) 677-0008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X A93634 CA Primary

Addresses

Primary practice location

5350 Madison Ave
Sacramento, CA 95841-3169

Mailing address

5350 Madison Ave
Sacramento, CA 95841-3169
Phone (916) 677-0008

Other identifiers 1

IdentifierTypeStateIssuer
A93634OtherCACALIFORNIA MEDICAL BOARD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1428796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1861888331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 MADISON AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958413169",
            "telephone_number": "916-677-0008",
            "fax_number": "916-515-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 MADISON AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958413169",
            "telephone_number": "916-677-0008",
            "fax_number": "916-515-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST MEDICAL CARE PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "USOROV",
        "authorized_official_first_name": "ALEKSANDER",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "916-677-0008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A93634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL BOARD",
            "identifier": "A93634",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "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 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.