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Organization
SOLANO REGIONAL MEDICAL GROUP, INC.
Active
Organization
SOLANO REGIONAL MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD B. RUSHFORD M.D. (MEDICAL DIRECTOR)
(707) 434-2049
Entity
Organization
Contact information
Practice address
2720 LOW COURT, FAIRFIELD, CA 94534
(707) 426-3911
(707) 434-2073
Mailing address
PO BOX 255668, SACRAMENTO, CA 95865-5668
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
213E00000X
Podiatrist
—
—
225100000X
Physical Therapist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0059860
—
CA
01
—
ZZZ04610Z
BLUE SHIELD GROUP NUMBER
CA
Enumeration date
07/16/2006
Last updated
01/10/2008
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