Organization Active NPI

Sacramento Imaging, Inc.

  • Radiology Clinic/Center
  • Fair Oaks, CA
National Provider Identifier
1891701165
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.