Active NPI
Ian Webster Radloff, FNP-BC
- Family Nurse Practitioner
- Sacramento, CA
National Provider Identifier
1932940319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95030003
- Practice address
- 2100 Capitol Ave
Sacramento, CA 95816-5721 - Phone
- (916) 442-4985
- NPI assigned
- Jun 1, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95030003 | CA | Primary |
Addresses
Primary practice location
2100 Capitol Ave
Sacramento, CA 95816-5721
Mailing address
PO Box 191824
Sacramento, CA 95819-7824
Phone (916) 330-0346
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250214001904 | CA | Practitioner - Nurse Practitioner | 9537699939 | Practice locations: Sacramento, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Health LLC | Current | Accepting new patients |
Locations
900 E Main St
Ste 106
Grass Valley, CA 95945
Phone (530) 446-6164
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Grass Valley, CA
- NPI 1568174118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747353600000",
"number": "1932940319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191824",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958197824",
"telephone_number": "916-330-0346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 CAPITOL AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165721",
"telephone_number": "916-442-4985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADLOFF",
"first_name": "IAN",
"middle_name": "WEBSTER",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-01",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95030003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
- Radiological Associates of Sacramento Medical Group Inc.
- Radiological Associates of Sacramento Medical Group, Inc.
- Radiological Associates of Sacramento Medical Group, Inc.
- Eva Radisay, DDS
- Benjamin Radlein, DDS
- Elizabeth Carolyn Radsliff, PNP
- Lucia P Rael, PTA
- Megan Rael
- Rinnah Rafanan
- Gary Raff, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.