Individual provider Active NPI

Janette Bajo, NP

  • Obstetrics & Gynecology Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1417432147
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
NP95008475 Issued in CA
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

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200507001841 CA Practitioner - Nurse Practitioner 0749611788 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NPCAMDFamily Nurse Practitioner
NP95008475CAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation CurrentSince Aug 10, 2020 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Aug 10, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.