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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SACRAMENTO EAR NOSE & THROAT SURGICAL & MEDICAL GROUP INC
NPI 1497758155
Otolaryngology in Sacramento, CA

Active since May 24, 2005CLIA Certified · 2 labs
1111 EXPOSITION BLVD BLDG 700, SACRAMENTO, CA 95815(916) 736-3399(916) 736-3350 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 22, 2026, May 14, 2026, Jul 23, 2024 and 4 more (7 updates tracked since 2020).

About Sacramento Ear Nose & Throat Surgical & Medical Group Inc NPPES

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

SACRAMENTO EAR NOSE & THROAT SURGICAL & MEDICAL GROUP INC (NPI 1497758155), doing business as Sacramento Ear, Nose, & Throat, is a healthcare organization registered as an otolaryngology in Sacramento, California and active in the NPI registry since May 2005. The organization holds 2 active CLIA laboratory certificates, maintains 9 additional practice locations, and lists Nina Li, Cfo, as its authorized official.

NPPES Registry Identity

NPI1497758155
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameSACRAMENTO EAR NOSE & THROAT SURGICAL & MEDICAL GROUP INC
Location Address1111 EXPOSITION BLVD BLDG 700Sacramento, CA 95815-4314
Mailing Address1111 Exposition Blvd Bldg 700Sacramento, CA 95815-4314 · (916) 736-3399 · Fax (916) 233-4171
Phone(916) 736-3399
Fax(916) 736-3350
Organization SubpartNo
Authorized OfficialNina LiCfo · (916) 736-3399
Enumeration DateMay 24, 2005
Last NPPES UpdateSeptember 22, 20267 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1497758155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.
Also ListedAllergy & ImmunologyTaxonomy 207K00000X
Also ListedOtolaryngology · Plastic Surgery within the Head & NeckTaxonomy 207YX0007X
Also ListedAudiologistTaxonomy 231H00000X
1111 EXPOSITION BLVD BLDG 700, Sacramento, CA 95815
Open in Google Maps ↗

Other Names 1

Doing Business AsSacramento Ear, Nose, & Throat

Secondary Practice Locations 9

Location 11801 E March Ln Ste C330Stockton, CA 95210-6658 · Phone (209) 952-0483 · Fax (209) 478-5785
Location 210200 Trinity Pkwy Ste 201Stockton, CA 95219-7288 · Phone (209) 952-0483 · Fax (209) 478-5785
Location 31528 Eureka Rd Ste 102Roseville, CA 95661-3047 · Phone (916) 736-6644 · Fax (916) 774-0143
Location 45 Medical Plaza Dr Ste 100Roseville, CA 95661-2866 · Phone (916) 969-6071 · Fax (916) 736-6638
Location 56600 Mercy Ct Ste 180Fair Oaks, CA 95628-3198 · Phone (916) 966-2770 · Fax (916) 966-0749
Location 62 Medical Plaza Dr Ste 225Roseville, CA 95661-3044 · Phone (916) 782-1291 · Fax (916) 782-5992
Location 71561 Creekside Dr Ste 180Folsom, CA 95630-3495 · Phone (916) 984-8830 · Fax (916) 984-8834
Location 86600 Mercy Ct Ste 180AFair Oaks, CA 95628-3198 · Phone (916) 966-2700 · Fax (916) 966-0749
Location 9785 Hana Way Ste 102Folsom, CA 95630-3885 · Phone (916) 736-6644 · Fax (916) 774-0143

Other Identifiers 2

OtherCP5499CA · Rr Medicare Pin
MedicaidGR0010460CA

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 Ear Nose & Throat Surgical & Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

28

Medicare enrollment records show 28 clinicians reassign Medicare billing to Sacramento Ear Nose & Throat Surgical & Medical Group Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Otolaryngology19
Qualified Audiologist4
Allergy/Immunology2
Nurse Practitioner2
Internal Medicine1

Nearest to this location (20)

See all 28
Briana Hester, AUD
Qualified Audiologist
NPI 1306339973
1111 EXPOSITION BLVD BLDG 700
Sacramento, CA 95815
(916) 736-3399
✔ Accepts MedicareSame address
Evelyn Keaton, N.P.
Nurse Practitioner
NPI 1306942529
1111 EXPOSITION BLVD BLDG 700
Sacramento, CA 95815
(916) 736-3399
✔ PECOS✔ Accepts MedicareSame address
Brent Benscoter, MD
Otolaryngology
NPI 1376703454
1111 EXPOSITION BLVD BLDG 700
Sacramento, CA 95815
(916) 736-3399
✔ PECOS✔ Accepts Medicare0.1 mi
James Griffitts, AU.D
Qualified Audiologist
NPI 1306229430
1111 EXPOSITION BLVD BLDG 700
Sacramento, CA 95815
(916) 736-3399
✔ Accepts Medicare0.1 mi
Eli Groppo, M.D.
Otolaryngology
NPI 1245402338
1111 EXPOSITION BLVD BLDG 700
Sacramento, CA 95815
(916) 736-3399
✔ PECOS✔ Accepts Medicare0.1 mi
Steven Hasday, MD
Otolaryngology
NPI 1881198208
1111 EXPOSITION BLVD BLDG 700
Sacramento, CA 95815
(916) 736-3399
✔ PECOS✔ Accepts Medicare0.1 mi
Kevin Mckennan, MD
Otolaryngology
NPI 1356344022
1111 EXPOSITION BLVD BLDG 700
Sacramento, CA 95815
(916) 736-3408
✔ PECOS✔ Accepts Medicare0.1 mi
Conor Mclaughlin, MD
Otolaryngology
NPI 1962846949
1111 EXPOSITION BLVD BLDG 700
Sacramento, CA 95815
(916) 736-3399
✔ PECOS✔ Accepts Medicare0.1 mi
Catherine Nunez, AUD
Qualified Audiologist
NPI 1306680020
1111 EXPOSITION BLVD BLDG 700
Sacramento, CA 95815
(916) 736-3399
✔ Accepts Medicare0.1 mi
Sarah Shearer, MD
Otolaryngology
NPI 1831694363
1111 EXPOSITION BLVD BLDG 700
Sacramento, CA 95815
(916) 736-3399
✔ PECOS✔ Accepts Medicare0.1 mi
Varun Varadarajan, MD
Otolaryngology
NPI 1508285693
1111 EXPOSITION BLVD BLDG 700
Sacramento, CA 95815
(916) 736-3399
✔ PECOS✔ Accepts Medicare0.1 mi
Michael Kearns, MD
Otolaryngology
NPI 1144223819
6600 MERCY CT STE 180
Fair Oaks, CA 95628
(916) 966-2700
✔ PECOS8.9 mi
Deanne Nyland, MD
Otolaryngology
NPI 1538332176
6600 MERCY CT STE 180A
Fair Oaks, CA 95628
(916) 966-2700
✔ PECOS✔ Accepts Medicare8.9 mi
Daniel Carlton, M.D.
Otolaryngology
NPI 1760725683
2 MEDICAL PLAZA DR STE 225
Roseville, CA 95661
(916) 736-3399
✔ PECOS✔ Accepts Medicare14 mi
David Kiener, MD
Otolaryngology
NPI 1770605495
5 MEDICAL PLAZA DR STE 100
Roseville, CA 95661
(916) 773-0395
✔ PECOS✔ Accepts Medicare14 mi
Matthew Bowdish, M.D.
Allergy/Immunology
NPI 1770767923
1528 EUREKA RD STE 102
Roseville, CA 95661
(916) 736-6644
✔ PECOS✔ Accepts Medicare15 mi
Mudita Gogna, M.D.
Allergy/Immunology
NPI 1235391640
1528 EUREKA RD STE 102
Roseville, CA 95661
(916) 736-6644
✔ PECOS✔ Accepts Medicare15 mi
Jessil Jose, NP
Nurse Practitioner
NPI 1164665311
1528 EUREKA RD STE 102
Roseville, CA 95661
(916) 736-6644
✔ PECOS✔ Accepts Medicare15 mi
Shalin Pandya, D.O.
Internal Medicine
NPI 1659759512
1528 EUREKA RD STE 102
Roseville, CA 95661
(167) 366-6449
✔ PECOS✔ Accepts Medicare15 mi
Timothy Fife, MD
Otolaryngology
NPI 1073747663
2 MEDICAL PLAZA DR SUITE 225
Roseville, CA 95661
(916) 782-1291
✔ PECOS✔ Accepts Medicare16 mi
See all 28 clinicians

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 2

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 05D1064255

Sacramento Ear Nose And Throat Surgical And Medical Group Inc · Sacramento, CA
Active · expires May 31, 2028
CLIA Number05D1064255
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2026
Certificate Expiration DateMay 31, 2028
Laboratory DirectorConor Mclaughlin
Laboratory Phone(916) 736-3399
Laboratory LocationSacramento Ear Nose And Throat Surgical And Medical Group Inc1111 Exposition Blvd, Bldg 700, Sacramento, CA 95815
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2087913

Sacramento Ear Nose And Throat Surgical And Medical Group Inc · Roseville, CA
Active · expires Dec 7, 2026
CLIA Number05D2087913
Laboratory TypePhysician Office
Certificate Effective DateDecember 8, 2024
Certificate Expiration DateDecember 7, 2026
Laboratory DirectorRandall A. Ow
Laboratory Phone(916) 782-1291
Laboratory LocationSacramento Ear Nose And Throat Surgical And Medical Group Inc2 Medical Plaza Dr Ste 225, Roseville, CA 95661
CLIA data matches this NPI record on: Address Phone
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 Ear Nose & Throat Surgical & Medical Group Inc's NPI number?

The NPI number for Sacramento Ear Nose & Throat Surgical & Medical Group Inc is 1497758155. It was assigned to this organization in the NPPES registry on May 24, 2005. The provider is doing business as Sacramento Ear, Nose, & Throat.

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

Sacramento Ear Nose & Throat Surgical & Medical Group Inc is located at 1111 Exposition Blvd Bldg 700, Sacramento, CA 95815. The listed phone number is (916) 736-3399.

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

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

Is Sacramento Ear Nose & Throat Surgical & Medical Group Inc enrolled in Medicare?

Yes. Sacramento Ear Nose & Throat Surgical & Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sacramento Ear Nose & Throat Surgical & Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 5 Medicare specialties reassign their Medicare billing to Sacramento Ear Nose & Throat Surgical & Medical Group Inc. 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 Otolaryngology (19), Qualified Audiologist (4) and Allergy/Immunology (2). Of these, 2 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sacramento Ear Nose & Throat Surgical & Medical Group Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Sacramento Ear Nose & Throat Surgical & Medical Group Inc was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.