Active NPI
Nick Majetich Jr., MD
- Interventional Cardiology Physician
- Carmichael, CA
National Provider Identifier
1396817474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- G62359
- Practice address
- 6401 Coyle Ave
Ste 416
Carmichael, CA 95608 - Phone
- (916) 966-3501
- Fax
- (916) 966-2805
- NPI assigned
- Nov 14, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G62359 | CA | |
| Nuclear Cardiology Physician | 207UN0901X | G62359 | CA | |
| Interventional Cardiology Physician | 207RI0011X | G62359 | CA | Primary |
Addresses
Primary practice location
6401 Coyle Ave
Ste 416
Carmichael, CA 95608
Mailing address
3400 Data Drive
Rancho Cordova, CA 95670-7956
Phone (916) 564-3040
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G623590 | Medicaid | CA | |
| ZZZ47675Z | Other | CA | BLUE SHIELD |
| ZZZ54665Z | Other | CA | BLUE SHIELD |
| GR0068235 | Medicaid | CA | |
| ZZZ62306Z | Other | CA | BLUE SHIELD |
| GR0068230 | Medicaid | CA | |
| GR0068232 | Medicaid | CA | |
| GR006823B | Medicaid | CA | |
| 060034401 | Other | CA | RAILROAD MEDICARE |
| GR0068231 | Medicaid | CA | |
| ZZZ47673Z | Other | CA | BLUE SHIELD |
| ZZZ47676Z | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551916800000",
"number": "1396817474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DRIVE",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956",
"telephone_number": "916-564-3040",
"fax_number": "916-564-3065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6401 COYLE AVE",
"address_2": "STE 416",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "95608",
"telephone_number": "916-966-3501",
"fax_number": "916-966-2805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAJETICH",
"first_name": "NICK",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2019-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G62359",
"primary": false
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "CA",
"license": "G62359",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CA",
"license": "G62359",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G623590",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ47675Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ54665Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0068235",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ62306Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0068230",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0068232",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR006823B",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060034401",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0068231",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ47673Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ47676Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.