SACRAMENTO EAR NOSE AND THROAT SURGICAL MEDICAL GROUP INC
NPI 1407073919
Otolaryngology in Sacramento, CA

Active since April 19, 2007
3810 J ST, SACRAMENTO, CA 95816(916) 736-3408(916) 233-4171 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sacramento Ear Nose And Throat Surgical Medical Group Inc NPPES

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

SACRAMENTO EAR NOSE AND THROAT SURGICAL MEDICAL GROUP INC (NPI 1407073919) is a healthcare organization registered as an otolaryngology in Sacramento, California and active in the NPI registry since April 2007. The organization lists Jeff Dudley, Cfo Admin, as its authorized official.

NPPES Registry Identity

NPI1407073919
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameSACRAMENTO EAR NOSE AND THROAT SURGICAL MEDICAL GROUP INC
Location Address3810 J STSacramento, CA 95816-5521
Mailing Address1561 Creekside Dr, Ste 180Folsom, CA 95630-3492 · (916) 984-8830 · Fax (916) 984-8834
Fax(916) 233-4171
Organization SubpartNo
Authorized OfficialJeff DudleyCfo Admin · (916) 736-3408
Enumeration DateApril 19, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1407073919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
3810 J ST, Sacramento, CA 95816

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 2

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

Durable Medical Equipment & Medical Supplies
3810 J ST
SACRAMENTO, CA 95816
Nurse Practitioner (Family)
3810 J ST
SACRAMENTO, CA 95816

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 Ear Nose And Throat Surgical Medical Group Inc's NPI number?

The NPI number for Sacramento Ear Nose And Throat Surgical Medical Group Inc is 1407073919. It was assigned to this organization in the NPPES registry on April 19, 2007.

Where is Sacramento Ear Nose And Throat Surgical Medical Group Inc located?

Sacramento Ear Nose And Throat Surgical Medical Group Inc is located at 3810 J St, Sacramento, CA 95816. The listed phone number is (916) 736-3408.

What is Sacramento Ear Nose And Throat Surgical Medical Group Inc's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Sacramento Ear Nose And Throat Surgical Medical Group Inc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.