JOHAN WINOTO (NPI# 1780635920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780635920 |
| Entity Type | Individual |
| Full Name | JOHAN WINOTO |
| Credential | M.D. |
| Practice Address |
777 Campus Commons Rd Suite 120 Sacramento CA 95825-8309 |
| Practice Telephone | 9169298564 |
| Practice Fax Number | 9169295963 |
| Mailing Telephone | 9169298564 |
| Mailing Fax Number | 9169295963 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2012-07-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
35090745 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | P00981485 | 01 | |
| CA | GR0015060 | 05 |
| Street Address |
777 CAMPUS COMMONS RD SUITE 120 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95825-8309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144606062 | Safe Rides Medtrans | Non-emergency Medical Transport (VAN) | 777 Campus Commons Rd, Suite 200 #58, Sacramento, CA 95825-8309 | 2015-08-03 |
| 1629319405 | Rio City Counseling | Marriage & Family Therapist | 777 Campus Commons Rd, Suite 200, Sacramento, CA 95825-8309 | 2013-03-04 |
| 1629312368 | Robert E Record | Psychologist | 777 Campus Commons Rd, Suite 200, Sacramento, CA 95825-8309 | 2012-11-19 |
| 1629359674 | Avalon Home Health Inc | Home Health | 777 Campus Commons Rd, Suite 200, Sacramento, CA 95825-8309 | 2011-09-05 |
| 1962797274 | Nikki Renee Love | Nurse Practitioner | 777 Campus Commons Rd, Sacramento, CA 95825-8309 | 2011-06-14 |
| 1295038412 | Torri Miller Jones | Psychologist | 777 Campus Commons Rd, Suite 200, Sacramento, CA 95825-8309 | 2010-12-09 |
| 1447552518 | Julie Karp | Marriage & Family Therapist | 777 Campus Commons Rd, Suite 200, Sacramento, CA 95825-8309 | 2010-11-23 |
| 1649400839 | Ganesh Kambhampati | Specialist | 777 Campus Commons Rd, Sacramento, CA 95825-8309 | 2009-07-22 |
| 1619141710 | Vladimir Bulanin | Nurse Practitioner | 777 Campus Commons Rd, Suite 120, Sacramento, CA 95825-8309 | 2008-04-18 |
| 1629253638 | Arkady Dukhovny | Non-emergency Medical Transport (VAN) | 777 Campus Commons Rd, 200, Sacramento, CA 95825-8309 | 2008-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1942810510 | Melissa Marlene Lowndes | Occupational Therapist | 1337 Howe Ave Unit 107, Sacramento, CA 95825 | 2020-08-07 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1154950327 | Hallie Wenz | Behavior Technician | 333 University Ave Suite #200, Sacramento, CA 95825 | 2020-04-08 |
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1710517891 | Amelia Garnica | Community/Behavioral Health | 720 Howe Avenue, Suite 102, Sacamento, CA 95825 | 2020-01-17 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604519 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave., Suite 102, Cacramento, CA 95825 | 2019-11-25 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| Find all providers in zip 95825 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992169171 | Alonso Diaz | Internal Medicine | 4150 V Street, Pssb Suite 3500, Sacramento, CA 95817 | 2016-04-13 |
| 1518259415 | Nick D Youssefi | Internal Medicine | 6600 Bruceville Rd Dept Of, Sacramento, CA 95823-4671 | 2011-05-10 |
| 1710213517 | Lawrence W Gold | Internal Medicine | 4150 V Street, Nephrology, Pssb 3500, Sacramento, CA 95817-2201 | 2009-10-29 |
| 1508037292 | Suresh Appasamy | Internal Medicine | 4150 V St Suite 3500-nephrology, Sacramento, CA 95817-1460 | 2008-03-20 |
| 1730291113 | Lorien Sky Dalrymple | Internal Medicine | 4150 V St, #3500 Pssb, Sacramento, CA 95817 | 2006-08-31 |
| 1386673598 | Janeline T. Daubert | Internal Medicine | 4150 V St # 3500, University of California, Davis, Sacramento, CA 95817-1460 | 2006-07-01 |
| 1275060303 | Capital Nephrology Access Center, LLC | Internal Medicine | 1111 Exposition Blvd Ste 300, Sacramento, CA 95815-4324 | 2017-05-19 |
| 1437680261 | Nandakishor Kapa | Internal Medicine | 4150 V St # 1100, Sacramento, CA 95817-1460 | 2017-03-23 |
| 1811377062 | John Harrison Howard IIi | Internal Medicine | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2015-06-03 |
| 1891182911 | Tiana Jespersen Nizamic | Internal Medicine | 4150 V Street, Pssb Suite 3500, Sacramento, CA 95817 | 2015-04-16 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95825 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.