Active NPI
John T Hata, M.D.
- Gastroenterology Physician
- Sacramento, CA
National Provider Identifier
1205800042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 00G279460
- Practice address
- 8120 Timberlake Way
Ste 101
Sacramento, CA 95823-5412 - Phone
- (916) 423-2124
- Fax
- (916) 423-2127
- NPI assigned
- Feb 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 00G279460 | CA | Primary |
Addresses
Primary practice location
8120 Timberlake Way
Ste 101
Sacramento, CA 95823-5412
Mailing address
8120 Timberlake Way
Ste 101
Sacramento, CA 95823-5412
Phone (916) 423-2124
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100002785 | Other | CA | RAILROAD MEDICARE |
| 00G279460 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27946 | CA | MD | Clinical Social Worker |
| 00G279460 | CA | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354665600000",
"number": "1205800042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8120 TIMBERLAKE WAY",
"address_2": "STE 101",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958235412",
"telephone_number": "916-423-2124",
"fax_number": "916-423-2127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8120 TIMBERLAKE WAY",
"address_2": "STE 101",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958235412",
"telephone_number": "916-423-2124",
"fax_number": "916-423-2127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATA",
"first_name": "JOHN",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-16",
"last_updated": "2012-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "00G279460",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "100002785",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G279460",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.