NPIMap

Individual provider Active NPI

Jonathan Daniel Snider, MD

  • Neurology Physician
  • Sacramento, CA
National Provider Identifier
1477864056
Registry record updated Feb 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
176241 Issued in CA
Practice address
4860 Y St Ste 3700
Sacramento, CA 95817-2307
Phone
(916) 734-6514
Fax
(916) 734-6525
NPI assigned
Jun 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 176241 CA Primary

Addresses

Primary practice location

4860 Y St Ste 3700
Sacramento, CA 95817-2307

Mailing address

4860 Y St Ste 3700
Sacramento, CA 95817-2307
Phone (757) 642-1098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220413001711 CA Practitioner - Neurology 3375769961 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Michigan Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

4860 Y St
Sacramento, CA 95817-2307
Phone (916) 734-2737

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
176241CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sacramento CurrentSince Mar 22, 2022 Accepting new patients
Regents of the Univ of Ca CurrentSince Apr 27, 2022 Accepting new patients
Regents of the University of Ca CurrentSince Mar 1, 2022 Accepting new patients
Regents of the University of California CurrentSince Mar 1, 2022 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the Univ of Ca Neurology CurrentSince Apr 27, 2022 Accepting new patients
County of Sacramento CurrentSince Mar 22, 2022 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
University of California, Davis PastSince Feb 13, 2022 Accepting new patients
Regents of the Univ of Ca PastSince Feb 13, 2022 Accepting new patients

Locations

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761

3160 Folsom Blvd
Ste 2900
Sacramento, CA 95816
Phone (916) 734-5846

4860 Y St
Ste 3700
Sacramento, CA 95817
Phone (916) 734-3514

4600 Broadway
Ste 2500
Sacramento, CA 95820

3160 Folsom Blvd
Ste 2100
Sacramento, CA 95816
Phone (916) 734-3588

4600 Broadway
#1100
Sacramento, CA 95820
Phone (916) 874-9670

4600 Broadway
Sacramento, CA 95820
Phone (916) 874-9670

Organizations & group practices 11

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.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645920000000",
    "number": "1477864056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 Y ST STE 3700",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "757-642-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 Y ST STE 3700",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-6514",
            "fax_number": "916-734-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIDER",
        "first_name": "JONATHAN",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2022-02-27",
        "certification_date": "2022-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "176241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.