Active NPI
Ronald G. Jan, M.D., Inc
- Vascular Surgery Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- G22975
- Legal business name
- RONALD G. JAN, M.D., INC
- Practice address
- 5025 J St
Suite 312
Sacramento, CA 95819 - Phone
- (916) 288-0055
- Fax
- (916) 288-0056
- NPI assigned
- Mar 20, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald G Jan, M.D
- Title
- President
- Phone
- (916) 288-5055
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | G22975 | CA | Primary |
Addresses
Primary practice location
5025 J St
Suite 312
Sacramento, CA 95819
Mailing address
5025 J St #312
Suite 312
Sacramento, CA 95819
Phone (916) 288-0055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G229750 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Ronald G Jan MD Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Surgical Oncology Physician
- Sacramento, CA
- NPI 1982129961
Locations
5025 J St
Ste 312
Sacramento, CA 95819
Phone (916) 288-0055
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular Surgery Physician
- Sacramento, CA
- NPI 1114018199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363737600000",
"number": "1982946687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5025 J ST #312",
"address_2": "SUITE 312",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95819",
"telephone_number": "916-288-0055",
"fax_number": "916-288-0056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5025 J ST",
"address_2": "SUITE 312",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95819",
"telephone_number": "916-288-0055",
"fax_number": "916-288-0056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RONALD G. JAN, M.D., INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-20",
"last_updated": "2013-03-20",
"status": "A",
"authorized_official_last_name": "JAN",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "916-288-5055",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "G22975",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G229750",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}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 Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.