Active NPI
Janette Bajo, NP
- Obstetrics & Gynecology Nurse Practitioner
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- NP95008475
- Practice address
- 2725 Capitol Ave Dept 304
Sacramento, CA 95816-6006 - Phone
- (916) 262-9414
- NPI assigned
- Sep 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP | CA | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | NP95008475 | CA | Primary |
Addresses
Primary practice location
2725 Capitol Ave Dept 304
Sacramento, CA 95816-6006
Mailing address
PO Box 255228
Sacramento, CA 95865-5228
Other practice location 1
6512 Lonetree Blvd Ste 200
Rocklin, CA 95765-5883
Phone (916) 772-1441
Other practice location 2
151 N Sunrise Ave Ste 1201
Roseville, CA 95661-2961
Phone (916) 677-4744
Other names 1
- Janette Marinas Villacarlos
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP | CA | MD | Family Nurse Practitioner |
| NP95008475 | CA | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients |
Locations
8170 Laguna Blvd
Ste 304
Elk Grove, CA 95758
Phone (916) 691-5900
2725 Capitol Ave
Dept 304
Sacramento, CA 95816
Phone (916) 262-9414
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
2725 Capitol Ave
Sacramento, CA 95816
Phone (916) 262-9370
Interoperability endpoints
- jbajo120772@hisp.ehr.sutterhealth.org
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596067200000",
"number": "1417432147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 255228",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958655228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2725 CAPITOL AVE DEPT 304",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958166006",
"telephone_number": "916-262-9414"
}
],
"practiceLocations": [
{
"address_1": "6512 Lonetree Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Rocklin",
"state": "CA",
"postal_code": "957655883",
"country_code": "US",
"telephone_number": "916-772-1441",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "151 N Sunrise Ave Ste 1201",
"address_purpose": "LOCATION",
"city": "Roseville",
"state": "CA",
"postal_code": "956612961",
"country_code": "US",
"telephone_number": "916-677-4744",
"fax_number": "916-781-2029",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAJO",
"first_name": "JANETTE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-27",
"last_updated": "2020-07-30",
"certification_date": "2020-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "CA",
"license": "NP95008475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JANETTE",
"last_name": "VILLACARLOS",
"middle_name": "MARINAS",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.