SACRAMENTO HEART AND VASCULAR MEDICAL
NPI 1093767063
Internal Medicine - Cardiovascular Disease in Sacramento, CA

Active since May 17, 2006CLIA 05D0958093 · Waiver
500 UNIVERSITY AVE, SACRAMENTO, CA 95825(916) 830-2000 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sacramento Heart And Vascular Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SACRAMENTO HEART AND VASCULAR MEDICAL (NPI 1093767063) is a healthcare organization registered as a cardiovascular disease in Sacramento, California and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through November 23, 2026 and lists Teresa L Isidore, Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1093767063
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameSACRAMENTO HEART & VASCULAR MEDICAL
Location Address500 UNIVERSITY AVESacramento, CA 95825-6523
Mailing Address500 University AveSacramento, CA 95825-6523 · (916) 830-2000
Organization SubpartNo
Authorized OfficialTeresa L IsidoreAdministrative Assistant · (916) 830-2041
Enumeration DateMay 17, 2006
Last NPPES UpdateAugust 2, 2022
NPPES CertifiedAugust 2, 2022
✔ NPI 1093767063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X
500 UNIVERSITY AVE, Sacramento, CA 95825

Other Names 1

Doing Business AsSacramento Heart And Vascular Medical

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sacramento Heart And Vascular Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Sacramento Heart And Vascular Medical, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Cardiovascular Disease (Cardiology)8
Interventional Cardiology3
Internal Medicine2
Nurse Practitioner2
Cardiac Electrophysiology1
Diagnostic Radiology1

Clinicians, nearest first (17)

Cardiovascular Disease (Cardiology)
NPI 1376594267
500 UNIVERSITY AVE.
Sacramento, CA 95825
(916) 830-2000
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1689625337
500 UNIVERSITY AVE.
Sacramento, CA 95825
(916) 830-2000
✔ PECOSSame address
Cardiovascular Disease (Cardiology)
NPI 1952353575
500 UNIVERSITY AVE.
Sacramento, CA 95825
(916) 830-2000
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1518917244
500 UNIVERSITY AVE.
Sacramento, CA 95825
(916) 830-2000
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1134174170
2801 K ST STE 502
Sacramento, CA 95816
(916) 733-8294
✔ PECOS✔ Accepts Medicare2.7 mi
Interventional Cardiology
NPI 1780635607
2800 L ST 6TH FLOOR
Sacramento, CA 95816
(916) 887-4040
✔ PECOS✔ Accepts Medicare2.7 mi
Internal Medicine
NPI 1588742738
1020 29TH ST
Sacramento, CA 95816
(916) 733-3777
✔ PECOS✔ Accepts Medicare2.8 mi
Nurse Practitioner
NPI 1447079447
701 SUNRISE AVE
Roseville, CA 95661
(916) 772-6337
✔ PECOS✔ Accepts Medicare14 mi
Cardiovascular Disease (Cardiology)
NPI 1073718052
101 BODIN CIR
Travis Afb, CA 94535
(707) 423-2300
✔ PECOS✔ Accepts Medicare36 mi
Cardiovascular Disease (Cardiology)
NPI 1144600354
101 BODIN CIR
Travis Afb, CA 94535
(707) 423-3000
✔ PECOS36 mi
Cardiovascular Disease (Cardiology)
NPI 1679830590
101 BODIN CIR
Fairfield, CA 94535
(707) 423-2300
✔ PECOS✔ Accepts Medicare36 mi
Cardiovascular Disease (Cardiology)
NPI 1225579923
101 BODIN CIR
Travis Afb, CA 94535
(707) 423-2300
✔ PECOS✔ Accepts Medicare36 mi
Interventional Cardiology
NPI 1861486425
101 BODIN CIR
Travis Afb, CA 94535
(707) 423-5011
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1760841902
300 PASTEUR DR
Stanford, CA 94305
(650) 723-4000
✔ PECOS✔ Accepts Medicare89 mi
Internal Medicine
NPI 1447468210
7520 ARROYO CIR
Gilroy, CA 95020
(408) 848-4600
✔ PECOS✔ Accepts Medicare108 mi
Cardiovascular Disease (Cardiology)
NPI 1962452680
30 GARDEN CT STE B
Monterey, CA 93940
(831) 649-1000
✔ PECOS✔ Accepts Medicare139 mi
Cardiac Electrophysiology
NPI 1295942381
2780 EUREKA WAY
Redding, CA 96001
(530) 229-0360
✔ PECOS✔ Accepts Medicare149 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0958093

Sacramento Heart & Vascular Medical Associates · Sacramento, CA
Active · expires Nov 23, 2026
CLIA Number05D0958093
Laboratory TypePhysician Office
Certificate Effective DateNovember 24, 2024
Certificate Expiration DateNovember 23, 2026
Laboratory DirectorKyle J. Michaelis
Laboratory Phone(916) 830-2025
Laboratory LocationSacramento Heart & Vascular Medical Associates500 University Avenue, Sacramento, CA 95825
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sacramento Heart & Vascular Medical's NPI number?

The NPI number for Sacramento Heart & Vascular Medical is 1093767063. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as Sacramento Heart And Vascular Medical.

Where is Sacramento Heart & Vascular Medical located?

Sacramento Heart & Vascular Medical is located at 500 University Ave, Sacramento, CA 95825. The listed phone number is (916) 830-2000.

What is Sacramento Heart & Vascular Medical's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sacramento Heart & Vascular Medical enrolled in Medicare?

Yes. Sacramento Heart & Vascular Medical is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sacramento Heart & Vascular Medical?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 6 Medicare specialties reassign their Medicare billing to Sacramento Heart & Vascular Medical. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Cardiovascular Disease (Cardiology) (8), Interventional Cardiology (3) and Internal Medicine (2). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sacramento Heart & Vascular Medical hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0958093) is associated with this NPI, valid through November 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sacramento Heart & Vascular Medical was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.