Roseville MD Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ROSEVILLE MD INC.

Practice address

1098 Sunrise Ave Ste 100
Roseville, CA 95661-4469

Phone

(916) 791-7285

NPI assigned

Aug 21, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul E. Kramer, MDNPI 1790794048

Title

Owner

Phone

(916) 791-7285

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Edward Kramer, MD

  • Family Medicine Physician
  • Roseville, CA
  • NPI 1790794048
  Medicare reassignment NPD Authorized official
• Kristine Lauren Golden, PA-C

  • Physician Assistant
  • Carmichael, CA
  • NPI 1134318850
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1952827925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1098 SUNRISE AVE STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614469",
            "telephone_number": "916-791-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 SUNRISE AVE STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614469",
            "telephone_number": "916-791-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEVILLE MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-791-7285",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roseville Family Urgent Care Inc
• Roseville Foot and Ankle PC
• Roseville Health & Wellness Center
• Roseville Heritage Partners, LP
• Roseville Joint Union High School District
• Roseville Optometry
• Roseville Optometry Associates
• Roseville Orthopedic Group a Medical Corp
• Roseville Orthopedic Physical Therapy Professional Corporation
• Roseville Orthopedics Group a Medical Corp

• Family Medicine Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.