Healthcare Provider Details

I. General information

NPI: 1790875052
Provider Name (Legal Business Name): NUCLEAR PHYSICIANS MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 HOSPITAL DR
SACRAMENTO CA
95823-5403
US

IV. Provider business mailing address

PO BOX 1202
ORANGEVALE CA
95662-1202
US

V. Phone/Fax

Practice location:
  • Phone: 916-989-9044
  • Fax: 916-988-5288
Mailing address:
  • Phone: 916-989-9044
  • Fax: 916-988-5288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CRAIG WEINER
Title or Position: MANAGING PARTNER
Credential: M.D.
Phone: 916-989-9044