Godwin I Okungbowa (NPI# 1104835966, PAC ID# 0648276253) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1104835966 |
| PAC ID by PECOS | 0648276253 |
| Professional Enrollment ID | I20061004000383 |
| Full Name | Godwin I Okungbowa |
| Organization Legal Name | RIVER CITY MEDICAL GROUP INC |
| Address |
2928 Eastern Ave Sacramento CA 95821-4210 |
| Phone Number | 9169716702 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9133415292 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2928 Eastern Ave, Sacramento, CA 95821-4210 | 9169716702 | RIVER CITY MEDICAL GROUP INC |
| Organization Legal Name | RIVER CITY MEDICAL GROUP INC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith A Hopkins | Internal Medicine | River City Medical Group Inc | 3441 Marysville Blvd, Sacramento, CA 95838-4512 |
| Maria E Stoner | Nurse Practitioner | River City Medical Group Inc | 2727 W Capitol Ave, West Sacramento, CA 95691-2220 |
| Viorica Bantea | Physician Assistant | River City Medical Group Inc | 2928 Eastern Ave, Sacramento, CA 95821-4210 |
| Anna Petrik | Physician Assistant | River City Medical Group Inc | 2928 Eastern Ave, Sacramento, CA 95821-4210 |
| Hulda Y Kim | Nurse Practitioner | River City Medical Group Inc | 5735 Watt Ave, North Highlands, CA 95660-4751 |
| Monica Manering | Nurse Practitioner | River City Medical Group Inc | 3441 Marysville Blvd, Sacramento, CA 95838-4512 |
| Marina Kamyshin | Physician Assistant | River City Medical Group Inc | 2928 Eastern Ave, Sacramento, CA 95821-4210 |
| Neda Raheen | Physician Assistant | River City Medical Group Inc | 2928 Eastern Ave, Sacramento, CA 95821-4210 |
| Mia K Smitt | Nurse Practitioner | River City Medical Group Inc | 2928 Eastern Ave, Sacramento, CA 95821-4210 |
| Dirk H Van Meurs | Family Practice | River City Medical Group Inc | 3441 Marysville Blvd, Sacramento, CA 95838-4512 |
| Street Address |
2928 EASTERN AVE |
| City | SACRAMENTO |
| State | CA |
| Zip | 95821-4210 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Viorica Bantea | Physician Assistant | River City Medical Group Inc | 2928 Eastern Ave, Sacramento, CA 95821-4210 |
| Anna Petrik | Physician Assistant | River City Medical Group Inc | 2928 Eastern Ave, Sacramento, CA 95821-4210 |
| Marina Kamyshin | Physician Assistant | River City Medical Group Inc | 2928 Eastern Ave, Sacramento, CA 95821-4210 |
| Neda Raheen | Physician Assistant | River City Medical Group Inc | 2928 Eastern Ave, Sacramento, CA 95821-4210 |
| Mia K Smitt | Nurse Practitioner | River City Medical Group Inc | 2928 Eastern Ave, Sacramento, CA 95821-4210 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Colin R Tredrea | Anesthesiology | 2288 Auburn Blvd, Sacramento, CA 95821-1618 | |
| Anthony S Pease | Physical Therapy | Capitol Physical Therapy Center Inc | 2288 Auburn Blvd, Suite 107, Sacramento, CA 95821-1619 |
| Steven D Mccormick | Psychologist, Clinical | 2288 Auburn Blvd, Suite 101, Sacramento, CA 95821-1619 | |
| Margaret M Portwood | Physical Medicine and Rehabilitation | 2288 Auburn Blvd, Suite 101, Sacramento, CA 95821-1619 | |
| Karen E Gray | Physical Therapy | Capitol Physical Therapy Center Inc | 2288 Auburn Blvd, Suite 107, Sacramento, CA 95821-1619 |
| Lucas D Myers | Physical Therapy | Capitol Physical Therapy Center Inc | 2288 Auburn Blvd, Suite 107, Sacramento, CA 95821-1619 |
| Wendy A Voss | Physical Therapy | Capitol Physical Therapy Center Inc | 2288 Auburn Blvd, Suite 107, Sacramento, CA 95821-1619 |
| Jennifer C Follestad | Nurse Practitioner | Metropolitan Pain Management Consultants, Inc | 2288 Auburn Blvd, Suite 106, Sacramento, CA 95821-1619 |
| Philippe A Vasquez | Physician Assistant | Metropolitan Pain Management Consultants, Inc | 2288 Auburn Blvd, Suite 106, Sacramento, CA 95821-1619 |
| Lee Snook Jr. | Interventional Pain Management | Metropolitan Pain Management Consultants, Inc | 2288 Auburn Blvd, Suite 106, Sacramento, CA 95821-1619 |
| Find all physicians in zip 95821 | |||
| City | SACRAMENTO |
| Zip Code | 95821 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SACRAMENTO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Godwin I Okungbowa.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.