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

Q: 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.

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: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2026, Jul 23, 2024, Sep 22, 2022 and 3 more (6 updates tracked since 2020).

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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 8 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 UpdateMay 14, 20266 updates tracked since enumeration

NPPES CertifiedMay 14, 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

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Other Names 1

Doing Business AsSacramento Ear, Nose, & Throat

Secondary Practice Locations 8

Location 1785 Hana Way Ste 102Folsom, CA 95630-3885 · Phone (916) 736-6644 · Fax (916) 774-0143

Location 26600 Mercy Ct Ste 180AFair Oaks, CA 95628-3198 · Phone (916) 966-2700 · Fax (916) 966-0749

Location 31561 Creekside Dr Ste 180Folsom, CA 95630-3495 · Phone (916) 984-8830 · Fax (916) 984-8834

Location 42 Medical Plaza Dr Ste 225Roseville, CA 95661-3044 · Phone (916) 782-1291 · Fax (916) 782-5992

Location 56600 Mercy Ct Ste 180Fair Oaks, CA 95628-3198 · Phone (916) 966-2770 · Fax (916) 966-0749

Location 61528 Eureka Rd Ste 102Roseville, CA 95661-3047 · Phone (916) 736-6644 · Fax (916) 774-0143

Location 710200 Trinity Pkwy Ste 201Stockton, CA 95219-7288 · Phone (209) 952-0483 · Fax (209) 478-5785

Location 85 Medical Plaza Dr Ste 100Roseville, CA 95661-2866 · Phone (916) 969-6071 · Fax (916) 736-6638

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

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.

Other Providers at the Same Location NPPES 18

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

ALASIA FATE AU.D.

Audiologist