DR. RONALD G JAN (NPI# 1114018199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114018199 |
| Entity Type | Individual |
| Full Name | DR. RONALD G JAN |
| Credential | MD |
| Practice Address |
5025 J St Suite 312 Sacramento CA 95819 |
| Practice Telephone | 9162880055 |
| Practice Fax Number | 9162880056 |
| Mailing Telephone | 9162880055 |
| Mailing Fax Number | 9162880056 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2013-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
G22975 | CA | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
G229750 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G229750 | 05 |
| Street Address |
5025 J ST SUITE 312 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780609974 | Godfrey Frederick Mix | Podiatrist | 5025 J St, Suite 316, Sacramento, CA 95819-3839 | 2006-07-12 |
| 1982129961 | Ronald G. Jan, M.d. Inc | Surgery | 5025 J St, Suite #312, Sacramento, CA 95819 | 2017-08-10 |
| 1861811622 | Maria K Cartwright | Naturopath | 5025 J St, Suite 205, Sacramento, CA 95819-3839 | 2014-04-09 |
| 1982946687 | Ronald G. Jan, M.d., Inc | Surgery | 5025 J St, Suite 312, Sacramento, CA 95819 | 2013-03-20 |
| 1548582729 | Karason Master Surgeons | Durable Medical Equipment & Medical Supplies | 5025 J St, Suite 316, Sacramento, CA 95819-3839 | 2010-02-16 |
| 1346425329 | Godfrey F. Mix, D.p.m., Inc. | Podiatrist | 5025 J St, Suite 316, Sacramento, CA 95819-3839 | 2008-01-08 |
| 1275717985 | Albert Z. Owens, M.d., P.C. | Clinic/Center | 5025 J St, 206, Sacramento, CA 95819-3839 | 2007-12-18 |
| 1316018682 | Midtown Internal Medicine Group | Internal Medicine | 5025 J St, Suite 315, Sacramento, CA 95819-3839 | 2006-11-10 |
| 1366513624 | Leslie R Farmer | Internal Medicine | 5025 J St, Suite 311, Sacramento, CA 95819-3839 | 2006-11-10 |
| 1659456887 | Ann L Gerhardt | Internal Medicine | 5025 J St, #203, Sacramento, CA 95819-3839 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808076 | Ashley Dumont | Naturopath | Zen Dermatology, 4801 J St, Sacramento, CA 95819 | 2020-10-12 |
| 1053893347 | Sacramento Foot and Ankle Center, Inc. | Podiatrist | 5030 J St Ste 300, Sacramento, CA 95819 | 2018-09-04 |
| 1558881557 | Herrfeldt Business Ventures Inc | In Home Supportive Care | 5363 H Street, Suite A, Sacramento, CA 95819 | 2017-06-21 |
| 1205288222 | Jerad Eugene Morris | Registered Nurse | 3939 J Street, Suite 310, Sacramento Anesthesia Medical Group, Sacramento, CA 95819 | 2016-07-02 |
| 1114306289 | Sacramento Skilled Nursing and Long Term Care Medical Group Inc. | Internal Medicine | 1133 42 Nd Street, Sacramento, CA 95819 | 2015-05-22 |
| 1366708901 | Beverly Lynne Meier-hanaway | Nurse Practitioner | 5151 F Street, Sutter Memorial Hospital, Sacramento, CA 95819 | 2012-04-09 |
| 1225319015 | Kaitlin J Nicoletti | Anesthesiology | 3939 J Street Suite 310, Sacramento, CA 95819 | 2011-09-07 |
| 1255654570 | Jamal Rahman Rahimi | Emergency Medicine | 4870 T St., Sacramento, CA 95819 | 2010-03-02 |
| 1265605273 | Earl Willis Weyers | Anesthesiology | 3939 J St Ste 310, Sacramento, CA 95819 | 2008-04-10 |
| 1376744599 | Jennifer E Keller | Surgery | 5725 F Street, Suite 3, Sacramento, CA 95819 | 2007-05-29 |
| Find all providers in zip 95819 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619389939 | Andrew Wishy | Surgery | 5749 Bridgecross Dr, Sacramento, CA 95835-1902 | 2014-05-21 |
| 1730478082 | Steven Maximus | Surgery | 4860 Y St Ste 2100, Sacramento, CA 95817-2309 | 2011-04-06 |
| 1841218690 | Richard Edward Ward | Surgery | 3941 J St 362, Sacramento, CA 95819-3633 | 2006-07-18 |
| 1295753036 | Charles Thomas Brownridge | Surgery | 2800 L St Ste 260, Sacramento, CA 95816-5616 | 2006-07-18 |
| 1508841537 | Daniel Peter Link Jr. | Surgery | 500 University Ave Ste 250, Sacramento, CA 95825-6525 | 2005-12-13 |
| 1417512195 | Kathryn Lambeth Dilosa | Surgery | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2019-05-07 |
| 1730587379 | Eric Kuo | Surgery | 2725 Capitol Ave Dept 402, Sacramento, CA 95816-6032 | 2014-12-14 |
| 1174949085 | Josefina Anita Dominguez | Surgery | 2725 Capitol Ave Dept 402, Sacramento, CA 95816-6032 | 2014-03-16 |
| 1417392663 | Mimmie Kwong | Surgery | 4860 Y St Ste 2100, Sacramento, CA 95817-2307 | 2013-05-01 |
| 1982946687 | Ronald G. Jan, M.d., Inc | Surgery | 5025 J St, Suite 312, Sacramento, CA 95819 | 2013-03-20 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95819 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.