ELLIOT M SACKS M.D. NPI 1346240637

NPI Information

NPI: 1346240637
Provider Name: ELLIOT M SACKS, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
27700 MEDICAL CENTER RD
MISSION VIEJO, CA
ZIP 92691
Phone: (949) 263-8620
Get Directions

Elliot M Sacks, M.D. is a diagnostic radiology radiology in Mission Viejo, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Elliot M Sacks, M.D. NPI is 1346240637. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

27700 MEDICAL CENTER RD
MISSION VIEJO, CA
ZIP 92691-426
Phone: (949) 263-8620
Fax: (800) 409-7005

The NPI 1346240637 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

CT scan of abdomen and pelvis (HCPCS:74176)

The enumeration date for this NPI number is 7/28/2005 and was last updated on 1/14/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	MD00028454	WASHINGTON	No
2	2085R0204X	Radiology	Vascular & Interventional Radiology	MD00028454	WASHINGTON	No
3	2085R0204X	Radiology	Vascular & Interventional Radiology	G32657	CALIFORNIA	No
4	2085R0202X	Radiology	Diagnostic Radiology	G32657	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00G326570	OTHER	CALIFORNIA	BC/BS OF CA
2	8126476	MEDICAID	WASHINGTON
3	8854133	MEDICARE PIN
4	AB38663	MEDICARE PIN
5	1346240637	MEDICAID	CALIFORNIA
6	000159721	MEDICARE PIN
7	CB224737	MEDICARE PIN	CALIFORNIA
8	A45233	MEDICARE UPIN	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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