MEDICARE: SACRAMENTO HEART & VASCULAR MEDICAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	207UN0901X	Nuclear Cardiology Physician
3	2085B0100X	Body Imaging Physician
4	2085R0202X	Diagnostic Radiology Physician
5	2085U0001X	Diagnostic Ultrasound Physician
6	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1093767063
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SACRAMENTO HEART & VASCULAR MEDICAL

Provider Business Mailing Address
First Line	:	500 UNIVERSITY AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95825-6523
Country	:	US
Telephone Number	:	916-830-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 UNIVERSITY AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95825-6523
Country	:	US
Telephone Number	:	916-830-2000
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATIVE ASSISTANT
Name	:	TERESA L ISIDORE
Credential	:
Telephone Number	:	916-830-2041

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	08/02/2022

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Directions to “SACRAMENTO HEART & VASCULAR MEDICAL ” Practice Location

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