John Albert Bissell, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

G23152 Issued in CA

Practice address

3027 Kadema Dr
Sacramento, CA 95864-6922

Phone

(916) 359-1137

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1013095769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3027 KADEMA DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958646922",
            "telephone_number": "916-995-9572",
            "fax_number": "916-359-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3027 KADEMA DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958646922",
            "telephone_number": "916-359-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSELL",
        "first_name": "JOHN",
        "middle_name": "ALBERT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G23152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G231520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenya Anjelica Bishop
• Robert Bishop, MD
• Tanya Dee Bishop
• Valerie Bishop
• Leah Bisogno, R.N.
• Kelly Rebecca Bissell
• David Philip Bissig, M.D., PH.D.
• Benjamin Bissinger
• Arielle Bitetti
• Xue Rachel Bito, MD

• Neurology Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.