Joshua J. Fenton, M.D., M.P.H.
Individual provider Active NPI Family Medicine Physician · Sacramento, CA
NPI 1144205154 · NPPES record last updated Apr 18, 2011
Key facts
- NPI
- 1144205154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A63697 (CA)
- Practice address
- 4860 Y St
Acc 1600
Sacramento, CA 95817-2307 - Phone
- (916) 734-3630
- Fax
- (916) 734-5550
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of California, San Francisco School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Regents of the Univ of Ca
Practice addresses (Care Compare)
10850 White Rock Rd
Rancho Cordova, CA 95670-6044
2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 734-2011
3200 Bell Rd
Auburn, CA 95603-9244
Phone (530) 885-7616
4860 Y St
Sacramento, CA 95817-2307
4861 Y St
Sacramento, CA 95817-2307
Phone (916) 734-2525
Hospital & facility affiliations
- Advanced Home Health, Inc
- University of California Davis Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050915000333 | CA | Practitioner - Family Practice | 3870578834 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A63697 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Current |
Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Family Medicine | Current |
Accepting new patients |
| Regents of the Univ of Ca | Past | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients | |
| University of Washington | Past | Accepting new patients |
Locations
4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700
4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313
4860 Y St
#2300
Sacramento, CA 95817
4860 Y St
#1600
Sacramento, CA 95817
Phone (916) 734-3630
4860 Y St
Ste 1600
Sacramento, CA 95817
Phone (916) 734-2833
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A63697 | CA | Yes |
Addresses
Primary practice location
4860 Y St
Acc 1600
Sacramento, CA 95817-2307
Mailing address
4860 Y St
Acc 2300
Sacramento, CA 95817-2307
Phone (916) 734-3164
Other providers in Sacramento, CA
- Angela Feng
- Zhaolin-Emily Feng
- Sherra Zade Feniuck
- Richard Matthew Fenner III
- Jesse Fenton
- Nai Brittany Fenton
- Wayne H. Fenton Jr.
- Alexandria Ivonne Fenwick
- Ferdinand R Tungol DDS Inc
- Ferguson Physical Therapy
All providers in Sacramento, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.