Organization Active NPI

Radiological Associates of Sacramento Medical Group

  • Nuclear Medicine Physician
  • Auburn, CA
National Provider Identifier
1902887011
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GR0028511MedicaidCA

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.