Individual provider Active NPI

Justin Dominic Paquette, M.D., M.A.

  • Neurological Surgery Physician
  • Sacramento, CA
National Provider Identifier
1154358661
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A91868 Issued in CA
Practice address
3800 J St Ste 210
Sacramento, CA 95816-5551
Phone
(916) 341-0310
Fax
(916) 341-0340
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X A91868 CA Primary

Addresses

Primary practice location

3800 J St Ste 210
Sacramento, CA 95816-5551

Mailing address

3800 J St Ste 210
Sacramento, CA 95816-5551
Phone (916) 341-0310

Other practice location 1

575 E Hardy St Ste 305
Inglewood, CA 90301-4083
Phone (310) 870-7123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061121000471 CA Practitioner - Orthopedic SurgeryPractitioner - Neurosurgery 3870591191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Neurosurgery
Education
Albany Medical College of Union University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3800 J St
Suite 210
Sacramento, CA 95816-5551
Phone (916) 341-0310

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion27
Laminectomy or laminotomy (partial removal of spine bones)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
91868CAMDMarriage & Family Therapist
A91868CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Justin Paquette, MD Corporation Current Accepting new patients
Paquette Spine Institute, Corp. Neurological Surgery Current Accepting new patients
H Leon Brooks, M.D. a Medical Corporation PastSince Aug 19, 2012 Accepting new patients
California Pain Specialists Inc Past Accepting new patients
Spine Reconstruction Partners Past Accepting new patients

Locations

575 E Hardy St
Ste 305
Inglewood, CA 90301
Phone (310) 672-3636

3800 J St
Ste 210
Sacramento, CA 95816
Phone (916) 273-7435

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5960/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1154358661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 J ST STE 210",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165551",
            "telephone_number": "916-341-0310",
            "fax_number": "916-341-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 J ST STE 210",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165551",
            "telephone_number": "916-341-0310",
            "fax_number": "916-341-0340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 E Hardy St Ste 305",
            "address_purpose": "LOCATION",
            "city": "Inglewood",
            "state": "CA",
            "postal_code": "903014083",
            "country_code": "US",
            "telephone_number": "310-870-7123",
            "fax_number": "310-652-2501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAQUETTE",
        "first_name": "JUSTIN",
        "middle_name": "DOMINIC",
        "name_prefix": "Dr.",
        "credential": "M.D., M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A91868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.