FOLSOM OBSTETRICS AND GYNECOLOGY MEDICAL GROUP INC - NPI 1285750505

Q: What is Folsom Obstetrics & Gynecology Medical Group Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

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About Folsom Obstetrics And Gynecology Medical Group Inc NPPES

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

FOLSOM OBSTETRICS AND GYNECOLOGY MEDICAL GROUP INC (NPI 1285750505) is a healthcare organization registered as a specialist in Folsom, California and active in the NPI registry since March 2007. The organization lists Jeffrey Richard Cragun, Owner President, as its authorized official.

NPPES Registry Identity

NPI1285750505

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameFOLSOM OBSTETRICS & GYNECOLOGY MEDICAL GROUP INC

Location Address1735 CREEKSIDE DRFolsom, CA 95630-3457

Mailing Address9474 Swan Lake DrGranite Bay, CA 95746-7205 · (916) 797-6004 · Fax (916) 797-6004

Phone(916) 983-3500

Fax(916) 983-8437

Organization SubpartNo

Authorized OfficialJeffrey Richard CragunOwner President · (916) 983-3500

Enumeration DateMarch 21, 2007

Last NPPES UpdateDecember 28, 2015

✔ NPI 1285750505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · G51481

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1735 CREEKSIDE DR, Folsom, CA 95630

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Other Names 1

Doing Business AsFolsom Obstetrics And Gynecology Medical Group Inc

Other Identifiers 2

Medicare UPINA52003CA

OtherZZZ18311ZCA · Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARMEN R GONZALEZ-BADILLO MD

Obstetrics & Gynecology

1735 CREEKSIDE DR
FOLSOM, CA 95630

Sacramento County (916) 983-3500

MRS. STEPHANIE ANNE HONDA WHCNP

Nurse Practitioner (Women's Health)

1735 CREEKSIDE DR
FOLSOM, CA 95630

Sacramento County (916) 983-3500

MS. KIMBERLY PATRICE MCLAUGHLIN MD

Obstetrics & Gynecology

1735 CREEKSIDE DR
FOLSOM, CA 95630

Sacramento County (916) 983-3500

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 Folsom Obstetrics & Gynecology Medical Group Inc's NPI number?

The NPI number for Folsom Obstetrics & Gynecology Medical Group Inc is 1285750505. It was assigned to this organization in the NPPES registry on March 21, 2007. The provider is doing business as Folsom Obstetrics And Gynecology Medical Group Inc.

Where is Folsom Obstetrics & Gynecology Medical Group Inc located?

Folsom Obstetrics & Gynecology Medical Group Inc is located at 1735 Creekside Dr, Folsom, CA 95630. The listed phone number is (916) 983-3500.

What is Folsom Obstetrics & Gynecology Medical Group Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Folsom Obstetrics & Gynecology Medical Group Inc was last updated on December 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.