Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sacramento Ear Nose and Throat Surgical Medical Group Inc

Organization Otolaryngology Physician · NPI 1407073919

Sacramento Ear Nose and Throat Surgical Medical Group Inc is an Otolaryngology Physician in Sacramento, California. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3810 J St
Sacramento, CA 95816-5521
Phone: (916) 736-3408
Fax: (916) 233-4171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X

Record details

NPI number1407073919
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeff Dudley — Cfo Admin · (916) 736-3408
NPI enumeratedApril 19, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1561 Creekside Dr, Ste 180, Folsom, CA 95630-3492

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