Provider Demographics
NPI:1982240321
Name:UNITED CARE FOUNDATION
Entity Type:Organization
Organization Name:UNITED CARE FOUNDATION
Other - Org Name:SACRAMENTO IMAGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:DERMISHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:RDMS
Authorized Official - Phone:916-752-7750
Mailing Address - Street 1:1765 CHALLENGE WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95815-5097
Mailing Address - Country:US
Mailing Address - Phone:916-905-5363
Mailing Address - Fax:916-877-7963
Practice Address - Street 1:1765 CHALLENGE WAY STE 130
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815-5098
Practice Address - Country:US
Practice Address - Phone:916-905-5363
Practice Address - Fax:916-877-7963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-20
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology