Unknown Individual – Diagnostic Radiology Physician, NPI 1124025366
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1500, Expo Parkway, Sacramento, Sacramento County, California, 95815, United States
SACRAMENTO, CA 958154227
Phone: (916) 646-8300
Fax: (916) 920-4434
Type: Mailing
2241, Douglas Boulevard, Roseville, Placer County, California, 95661, United States
STE 110
ROSEVILLE, CA 956613831
Phone: (919) 783-8900
Fax: (916) 789-1550
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 95815)
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