Placer Medical Center, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A81351 Issued in CA

Legal business name

PLACER MEDICAL CENTER, INC

Practice address

576 N Sunrise Ave Ste 210
Roseville, CA 95661-2847

Phone

(916) 786-0222

NPI assigned

Mar 27, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Shailaja Menon, MD

Title

President

Phone

(916) 508-8852

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1962907436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3843 MOUNTAINVIEW DR",
            "city": "LOOMIS",
            "state": "CA",
            "postal_code": "956509796",
            "telephone_number": "916-508-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 N SUNRISE AVE STE 210",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612847",
            "telephone_number": "916-786-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLACER MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "MENON",
        "authorized_official_first_name": "SHAILAJA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-508-8852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A81351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Placer County
• Placer County Adult System of Care
• Placer County HHS
• Placer County Mental Health Berkeley
• Placer Dermatology & Skin Care Center Inc.
• Placer Optometry, Inc.
• Placer Psychological Wellness Group, Inc
• Placer Surgical Associates
• Planned Parenthood Mar Monte, Inc
• Mary M Planta, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.