DR. JAY C OWENS (NPI# 1124124722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124124722 |
| Entity Type | Individual |
| Full Name | DR. JAY C OWENS |
| Credential | M.D. |
| Practice Address |
3 Medical Plaza Dr Suite 130 Roseville CA 95661-3087 |
| Mailing Address |
10470 Old Placerville Rd Suite 100 Sacramento CA 95827-2539 |
| Practice Telephone | 9167738750 |
| Practice Fax Number | 9167738751 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2015-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | G30403 | CA | Allopathic & Osteopathic Physicians |
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
G30403 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G304030 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649461617 | Jay Gordon Owens | Family Medicine | 10035 Knox Dr, Overland Park, KS 66212-5340 | 2007-08-06 |
| 1275627572 | Jay Rosamond Owens Jr. | Dentist | 1123 S University Ave, Suite 714, Little Rock, AR 72206-1614 | 2006-10-03 |
| 1285118828 | Jay Owens | Counselor | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2018-09-19 |
| 1427010719 | Jay Rosamond Owens IIi | Dentist | Cmr 402, Landstuhl Dental Activity Credentials Office, Apo, AE 09180 | 2006-04-04 |
| Street Address |
3 MEDICAL PLAZA DR SUITE 130 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-3087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821094475 | Douglas Hight | Podiatrist | 3 Medical Plaza Dr, Suite 110, Roseville, CA 95661-3087 | 2005-06-27 |
| 1801210539 | Igor Shkuratov | Occupational Therapist | 3 Medical Plaza Dr, Suite 100, Roseville, CA 95661-3087 | 2014-02-17 |
| 1649570649 | Karen E Demarco | Occupational Therapy Assistant | 3 Medical Plaza Dr, Suite 100, Roseville, CA 95661-3087 | 2010-10-25 |
| 1629399126 | Stephanie A Austin | Otolaryngology | 3 Medical Plaza Dr, #220, Roseville, CA 95661-3087 | 2010-06-18 |
| 1982920401 | Kim David O. Canlas | Internal Medicine | 3 Medical Plaza Dr, Suite 140, Roseville, CA 95661-3087 | 2010-04-08 |
| 1871721654 | Douglas Ocampo Canlas II | Internal Medicine | 3 Medical Plaza Dr, Suite 140, Roseville, CA 95661-3087 | 2009-06-30 |
| 1043448533 | Hossein Mirheydar | Urology | 3 Medical Plaza Dr, Ste 250, Roseville, CA 95661-3087 | 2009-06-23 |
| 1336380286 | Carolina Raveau Alvayay | Urology | 3 Medical Plaza Dr, Suite 250, Roseville, CA 95661-3087 | 2009-03-23 |
| 1114182920 | Linda J Sheu | Dermatology | 3 Medical Plaza Dr, Suite 230, Roseville, CA 95661-3087 | 2008-07-21 |
| 1902068232 | Heather D Van Horn | Physical Therapy Assistant | 3 Medical Plaza Dr, Suite 100, Roseville, CA 95661-3087 | 2008-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801418702 | Farzad Alemi Md Inc | Surgery | 3628 E Imperial Hwy Ste 103, Lynwood, CA 90262-2600 | 2020-05-13 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1225511835 | Brendan Boland Md Inc | Surgery | 9001 Wilshire Blvd Ste 207, Beverly Hills, CA 90211-1843 | 2018-09-10 |
| 1508377409 | Curetology Surgical Oncology Medical Corporation & Associates | Surgery | 1127 Wilshire Blvd Ste 1604, Los Angeles, CA 90017-4007 | 2017-10-18 |
| 1770966178 | Sinziana Dumitra | Surgery | 1500 Durate Road California, Mob L001, Duarte, CA 91010 | 2015-07-02 |
| 1336572734 | Lana D Louie | Surgery | 18370 Burbank, Suite 607, Tarzana, CA 91356-2833 | 2013-08-21 |
| 1942544515 | Leland J Foshag, Md Inc | Surgery | 11818 Wilshire Blvd Ste 200, Los Angeles, CA 90025-6647 | 2012-11-20 |
| 1447516935 | Fank B Callipari X | Surgery | 14914 Huntington Gate Dr, Poway, CA 92064-6709 | 2012-04-09 |
| 1649549767 | Joseph Dotan | Surgery | 1618 Woodlands Rd, Beaumont, CA 92223-8569 | 2011-12-19 |
| 1679801609 | Carl Mason Sutherland II | Surgery | 539 28th Ave, San Mateo, CA 94403-2601 | 2009-12-02 |
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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.