REGIONAL CARDIOLOGY ASSOCIATES

Provider Demographics

• NPI: 1760554828
• Name: REGIONAL CARDIOLOGY ASSOCIATES
• Entity Type: Organization
• Organization Name: REGIONAL CARDIOLOGY ASSOCIATES
• Authorized Official - Title/Position: PHYSICIAN PARTNER
• Authorized Official - Prefix: DR
• Authorized Official - First Name: JAMES
• Authorized Official - Last Name: FOERSTER
• Authorized Official - Credentials: MD
• Authorized Official - Phone: 916-564-3040
• Mailing Address - Street 1: 1010 HURLEY WAY
• Mailing Address - Street 2: SUITE 500
• Mailing Address - City: SACRAMENTO
• Mailing Address - State: CA
• Mailing Address - Zip Code: 95825-3216
• Mailing Address - Country: US
• Mailing Address - Phone: 916-564-3040
• Mailing Address - Fax: 916-564-3065
• Practice Address - Street 1: 3941 J STREET
• Practice Address - Street 2: SUITE 260
• Practice Address - City: SACRAMENTO
• Practice Address - State: CA
• Practice Address - Zip Code: 95819-3633
• Practice Address - Country: US
• Practice Address - Phone: 916-736-2323
• Practice Address - Fax: 916-736-0620
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-11-14
• Last Update Date: 2013-03-20

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	207RC0000X	Allopathic & Osteopathic Physicians	Internal Medicine	Cardiovascular Disease	Group - Multi-Specialty
No	207RI0011X	Allopathic & Osteopathic Physicians	Internal Medicine	Interventional Cardiology	Group - Multi-Specialty
No	207UN0901X	Allopathic & Osteopathic Physicians	Nuclear Medicine	Nuclear Cardiology	Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
CA	ZZZ47675Z	Other	BLUE SHIELD
CA	ZZZ62306Z	Other	BLUE SHIELD
CA	GR0068235	Medicaid
CA	ZZZ54665Z	Other	BLUE SHIELD
CA	GR0068230	Medicaid
CA	GR0068233	Medicaid
CA	ZZZ47673Z	Other	BLUE SHIELD
CA	ZZZ47674Z	Other	BLUE SHIELD
CA	ZZZ47676Z	Other	BLUE SHIELD
CA	CR1073	Other	RAILROAD MEDICARE
CA	GR0068231	Medicaid
CA	GR0068232	Medicaid
CA	GR006823B	Medicaid
CA	ZZZ17828Z	Medicare ID - Type Unspecified
CA	ZZZ54665Z	Other	BLUE SHIELD
CA	ZZZ47674Z	Other	BLUE SHIELD
CA	ZZZ47673Z	Other	BLUE SHIELD
CA	CR1073	Other	RAILROAD MEDICARE
CA	ZZZ00967Z	Medicare ID - Type Unspecified