| Organization Name: | SACRAMENTO MEDICAL GROUP |
| NPI Number: | 1275805277 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID E ROOT (MEDICAL DIRECTOR) |
| Mailing Address: | 2708 Mercantile Dr. Rancho Cordova |
| State: | CA US |
| Postal Code: | 957420959 |
| Phone Number: | 9163876929 |
| Fax Number: | 9163876977 |
| NPI Enumeration Date: | 02/07/2012 |
| NPI Last Update Date: | 02/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |