Clint Jonutz, CP

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

CP003370 Issued in CA

Practice address

3838 Watt Ave Ste A110
Sacramento, CA 95821-2689

Phone

(916) 484-0685

Fax

(916) 484-0982

NPI assigned

Jun 26, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Thrive Prosthetics

  • Prosthetic/Orthotic Supplier
  • Carmichael, CA
  • NPI 1699227009

  Prosthetist

  NPD
• Anchor Orthotics & Prosthetics

  • Prosthetic/Orthotic Supplier
  • Sacramento, CA
  • NPI 1306911227
  NPD (past)

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1245492701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 WATT AVE STE A110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212689",
            "telephone_number": "916-484-0685",
            "fax_number": "916-484-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 WATT AVE STE A110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212689",
            "telephone_number": "916-484-0685",
            "fax_number": "916-484-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONUTZ",
        "first_name": "CLINT",
        "credential": "CP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "CA",
            "license": "CP003370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Jones
• Yesenia Fuentes Jones, ASW
• Jong L. Chen, M.D., Inc.
• Marissa Jong-Delgado, PT, DPT
• Alyssa Marie Jonutz, RBT
• Jayne Joo, M.D.
• Seohyun Joo, PH.D.
• Kit Joos
• Jordan Gaddis D.D.S. a Professional Dental Corporation
• Jordan Medical Corporation

• Prosthetist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Prosthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.