National Provider Identifier Database

CAPITOL CITY MEDICAL GROUP INC
Bone Densitometry Radiologic Technologist

A radiologic technologist who specializes in bone densitometry and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy, in performance of bone density imaging, exam techniques, equipment protocols, radiation safety, and patient care.


Contact Information

CAPITOL CITY MEDICAL GROUP, INC
500 UNIVERSITY AVE
SUITE 200
SACRAMENTO, CA95825-6523
Phone: 916-920-1200
Fax:
Website:
Specialty Taxonomy Code
* Bone Densitometry Radiologic Technologist 2471B0102X
Primary Care 261QP2300X

* Indicates primary specialty

NPI Profile & details for CAPITOL CITY MEDICAL GROUP, INC

NPI Number 1447238092
Legal business name
LBN
CAPITOL CITY MEDICAL GROUP, INC
Authorized official ROSE ULLERY - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 01/04/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • CA Medicaid: GR0088950
  • CA Other: ZZZ61216Z BLUE SHIELD PROVIDER ID

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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