JEFFREY BRODOVSKY (NPI# 1699192286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699192286 |
| Entity Type | Individual |
| Full Name | JEFFREY BRODOVSKY |
| Credential | DO |
| Practice Address |
1201 Alhambra Blvd Ste 100 Sacramento CA 95816 |
| Mailing Address |
10470 Old Placerville Rd Ste 100 Sacramento CA 95827-2539 |
| Practice Telephone | 9164514400 |
| Practice Fax Number | 9167317955 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2018-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A16385 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1201 ALHAMBRA BLVD STE 100 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023638327 | Fast Medical Care LLC | Family Medicine | 342 Main Ave, Sacramento, CA 95838-2063 | 2020-04-16 |
| 1386275246 | Zsm Medical Services Inc | Family Medicine | 8 Cain Ct, Sacramento, CA 95834-1067 | 2020-01-30 |
| 1083265565 | Rajwinder Kaur | Family Medicine | 11 Poinsettia Ct, Sacramento, CA 95838-2282 | 2019-09-25 |
| 1629630314 | Archway Health Care Services Inc | Family Medicine | 8950 Cal Center Dr Ste 112, Sacramento, CA 95826-3236 | 2019-07-02 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1487186334 | Emilie Dempsey | Family Medicine | 2801 27th St, Sacramento, CA 95818-3221 | 2017-03-30 |
| 1396198958 | River City Medical Group Inc | Family Medicine | 7311 Greenhaven Dr, Suite 145, Sacramento, CA 95831-3572 | 2016-07-19 |
| 1215382197 | Manpreet Kaur Gill | Family Medicine | 3308 El Camino Ave # 300-434, Sacramento, CA 95821-6327 | 2016-04-28 |
| 1457764235 | Sharndeep Kaur Bains | Family Medicine | 10470 Old Placerville Road, Ste 100, Sacramento, CA 95827-2539 | 2014-06-09 |
| 1346650306 | Queena Dai | Family Medicine | 1201 Alhambra Blvd Ste 230, Sacramento, CA 95816-5241 | 2014-04-30 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
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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.