Active NPI
Sacramento Imaging, Inc.
- Radiology Clinic/Center
- Fair Oaks, CA
National Provider Identifier
1891701165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- SACRAMENTO IMAGING, INC.
- Practice address
- 6608 Mercy CT
Suite B
Fair Oaks, CA 95628-3133 - Phone
- (916) 965-1833
- NPI assigned
- Jul 31, 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
- Ms. Sima Dermishyan
- Title
- Manager
- Phone
- (916) 752-7750
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
6608 Mercy CT
Suite B
Fair Oaks, CA 95628-3133
Mailing address
6608 Mercy CT
Suite B
Fair Oaks, CA 95628-3133
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891701165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6608 MERCY CT",
"address_2": "SUITE B",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956283133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6608 MERCY CT",
"address_2": "SUITE B",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956283133",
"telephone_number": "916-965-1833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SACRAMENTO IMAGING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DERMISHYAN",
"authorized_official_first_name": "SIMA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "916-752-7750",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fair Oaks, CA
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.