# RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629138300
- **Authorized official:** DR. JONATHAN BRESLAU M.D. (PRESIDENT)
- **Authorized official phone:** (916) 646-8300

## Contact information

- **Practice address:** 5 MEDICAL PLAZA DRIVE, SUITE 140, ROSEVILLE, CA 95661
- **Practice address phone:** (916) 783-8114
- **Practice address fax:** (916) 783-8116
- **Mailing address:** 1500 EXPO PKWY, SACRAMENTO, CA 95815-4227
- **Mailing address phone:** (916) 646-8300
- **Mailing address fax:** (916) 920-4434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207U00000X | Nuclear Medicine Physician | — | NULL | — |
| 207U00000X | Nuclear Medicine Physician | — | — | — |
| 2085B0100X | Body Imaging Physician | — | NULL | — |
| 2085B0100X | Body Imaging Physician | — | — | — |
| 2085N0700X | Neuroradiology Physician | — | NULL | — |
| 2085N0700X | Neuroradiology Physician | — | — | — |
| 2085P0229X | Pediatric Radiology Physician | — | NULL | — |
| 2085P0229X | Pediatric Radiology Physician | — | — | — |
| 2085R0001X | Radiation Oncology Physician | — | NULL | — |
| 2085R0001X | Radiation Oncology Physician | — | — | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 10/27/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR002851P | — | CA |