Organization · NPI-2

Radiological Associates Of Sacramento Medical Group INC

· Roseville, CA

NPI number1629138300

StatusActive

Last updated in NPPESOct 27, 2011

Details

NPI: 1629138300
Entity type: Organization (NPI-2)
Legal business name: Radiological Associates Of Sacramento Medical Group INC
Organization subpart: No
Enumeration date: Dec 11, 2006
Last updated: Oct 27, 2011

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2086S0129X		–	–	Yes
207U00000X	Nuclear Medicine	–	–
2085B0100X	Radiology, Body Imaging	–	–
2085N0700X		–	–
2085P0229X	Radiology, Pediatric Radiology	–	–
2085R0001X		–	–
2085U0001X	Radiology, Diagnostic Ultrasound	–	–

Practice location

5 Medical Plaza Drive
Suite 140
Roseville, CA 95661

Phone 916-783-8114 · Fax 916-783-8116

Mailing address

1500 Expo Pkwy
Sacramento, CA 95815-4227

Phone 916-646-8300 · Fax 916-920-4434

Authorized official

Jonathan Breslau
President
9166468300

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.