Healthcare Provider Details

I. General information

NPI: 1760554828
Provider Name (Legal Business Name): REGIONAL CARDIOLOGY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 03/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3941 J STREET SUITE 260
SACRAMENTO CA
95819-3633
US

IV. Provider business mailing address

1010 HURLEY WAY SUITE 500
SACRAMENTO CA
95825-3216
US

V. Phone/Fax

Practice location:
  • Phone: 916-736-2323
  • Fax: 916-736-0620
Mailing address:
  • Phone: 916-564-3040
  • Fax: 916-564-3065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES FOERSTER
Title or Position: PHYSICIAN PARTNER
Credential: MD
Phone: 916-564-3040