NPIMap

Organization Active NPI

Anesthesia Consultants of Sacramento a Medical Group, Inc.

  • Anesthesiology Physician
  • Sacramento, CA
National Provider Identifier
1871507293
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
37098001 Issued in CA
Legal business name
ANESTHESIA CONSULTANTS OF SACRAMENTO A MEDICAL GROUP, INC.
Practice address
3315 Watt Ave
Sacramento, CA 95821-3600
Phone
(916) 481-6800
Fax
(916) 481-1881
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Authorized official

Name
Mr. Kip Virts, M.D.
Title
President
Phone
(916) 481-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 37098001 CA Primary

Addresses

Primary practice location

3315 Watt Ave
Sacramento, CA 95821-3600

Mailing address

PO Box 660908
Sacramento, CA 95866-0908
Phone (916) 481-6800

Other identifiers 1

IdentifierTypeStateIssuer
GR0046250MedicaidCA

National Provider Directory

National Provider Directory

Locations

4441 Auburn Blvd
Ste H
Sacramento, CA 95841
Phone (916) 481-3733

Practitioners & affiliated clinicians

Practitioners 7

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": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1871507293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660908",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958660908",
            "telephone_number": "916-481-6800",
            "fax_number": "916-481-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 WATT AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958213600",
            "telephone_number": "916-481-6800",
            "fax_number": "916-481-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA CONSULTANTS OF SACRAMENTO A MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "VIRTS",
        "authorized_official_first_name": "KIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-481-6800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "37098001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0046250",
            "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 Dec 10, 2014; 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.