Active NPI
Radiological Associates of Sacramento Medical Group
- Nuclear Medicine Physician
- Auburn, CA
National Provider Identifier
1902887011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- Legal business name
- RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP
- Practice address
- 11815 Education St
Auburn, CA 95602-2410 - Phone
- (530) 888-4535
- Fax
- (530) 889-6095
- NPI assigned
- Nov 7, 2005
- Last updated
- Sep 28, 2007
- 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
- Fred Gaschen
- Title
- Executive Vice President
- Phone
- (916) 646-8300
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | CA | Primary | |
| Nuclear Cardiology Physician | 207UN0901X | NU | ||
| Nuclear Imaging & Therapy Physician | 207UN0902X | CA | ||
| In Vivo & In Vitro Nuclear Medicine Physician | 207UN0903X | CA |
Addresses
Primary practice location
11815 Education St
Auburn, CA 95602-2410
Mailing address
1500 Expo Pkwy
Sacramento, CA 95815-4227
Phone (916) 646-8406
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0028511 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190937600000",
"number": "1902887011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 EXPO PKWY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958154227",
"telephone_number": "916-646-8406",
"fax_number": "916-920-4434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11815 EDUCATION ST",
"city": "AUBURN",
"state": "CA",
"postal_code": "956022410",
"telephone_number": "530-888-4535",
"fax_number": "530-889-6095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-07",
"last_updated": "2007-09-28",
"status": "A",
"authorized_official_last_name": "GASCHEN",
"authorized_official_first_name": "FRED",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
"authorized_official_telephone_number": "916-646-8300"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207UN0902X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "207UN0903X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, In Vivo & In Vitro Nuclear Medicine",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0028511",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, CA
- Raad Al-Shaikh MD Inc. (auburn/grass valley orthopaedic specialists)
- Radiological Associates of Sacramento Medical Group
- Radiological Associates of Sacramento Medical Group
- Radiological Associates of Sacramento Medical Group
- Radiological Associates of Sacramento Medical Group
- Lisa A Ragsdale-Coffman, LCSW
- Raleys
- Elena Alekseyevna Ralik, MD
- Bertha Adriana Ramirez Magana, LCSW
- Lindsay Taylor Ramirez, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.