JAYNE JOO (NPI# 1942468962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942468962 |
| Entity Type | Individual |
| Full Name | JAYNE JOO |
| Credential | M.D. |
| Practice Address |
3301 C St Ste 1400 Sacramento CA 95816-3367 |
| Practice Telephone | 9167346111 |
| Mailing Telephone | 9167346111 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | A109963 | CA | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
A109963 | CA | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
A109963 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10535 Hospital Way, Mather, CA 956554200 | 9163665300 | |
| 1370 Prairie City Rd, Folsom, CA 956309554 | 9169859300 |
| Street Address |
3301 C ST STE 1400 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-3367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790328250 | Hiep D Ma | Physician Assistant | 3301 C St Ste 1400, Sacramento, CA 95816-3367 | 2019-10-28 |
| 1679036719 | Jenny Zhuoyue Wang | Dermatology | 3301 C St Ste 1400, Sacramento, CA 95816-3367 | 2019-04-06 |
| 1013400472 | Virginia R Barton | Dermatology | 3301 C St Ste 1400, Sacramento, CA 95816-3367 | 2018-06-11 |
| 1942711486 | Alain Brassard | Dermatology | 3301 C St Ste 1400, Sacramento, CA 95816-3367 | 2017-10-23 |
| 1003345737 | Stephanie T Le | Dermatology | 3301 C St Ste 1400, Sacramento, CA 95816-3367 | 2017-06-06 |
| 1679927941 | Yi-chun Chen | Dermatology | 3301 C St Ste 1400, Sacramento, CA 95816-3367 | 2016-04-22 |
| 1235507740 | Suzana Saric-bosanac | Student in an Organized Health Care Education/Training Program | 3301 C St Ste 1400, Sacramento, CA 95816 | 2015-09-14 |
| 1376954529 | Paul Hoesly | Dermatology | 3301 C St Ste 1400, Sacramento, CA 95816-3367 | 2014-05-09 |
| 1871936575 | Chelsea Ma | Dermatology | 3301 C St Ste 1400, Sacramento, CA 95816-3367 | 2013-04-11 |
| 1477847531 | Balvinder Rehal | Dermatology | 3301 C St Ste 1400, Sacramento, CA 95816-3367 | 2011-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760409742 | Summer R Youker | Dermatology | 2805 J St Ste 100, Sacramento, CA 95816-4307 | 2006-07-16 |
| 1619323755 | Allison Weinkle | Dermatology | 3301 C St Ste 1300, Sacramento, CA 95816-3370 | 2016-05-08 |
| 1184831521 | Michael J Fazio, Md Inc | Dermatology | 2805 J St, Suite 100, Sacramento, CA 95816-4307 | 2007-05-16 |
| 1952317455 | Andrea Willey | Dermatology | 2277 Fair Oaks Blvd, Suite 402, Sacramento, CA 95825-5533 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578173936 | Mill Valley Dermatology, Inc | Dermatology | 655 Redwood Hwy Frontage Rd Ste 100, Mill Valley, CA 94941-3031 | 2020-07-31 |
| 1710508874 | Zhe Hou, M.d., Ph.d., A Professional Corporation | Dermatology | 3000 E Imperial Hwy Ste 150, Brea, CA 92821-6782 | 2020-04-29 |
| 1073152112 | Agape Dermatology PC | Dermatology | 18800 Main St Ste 111, Huntington Beach, CA 92648-1717 | 2020-01-06 |
| 1497392492 | Pacifica Dermatology | Dermatology | 2460 N Ponderosa Dr Ste A117, Camarillo, CA 93010-2468 | 2019-12-09 |
| 1518447689 | Razieh Soltani Arabshahi Md Inc | Dermatology | 960 E Green St Ste 330, Pasadena, CA 91106-2401 | 2018-08-18 |
| 1811497928 | Laca Dermatology, Inc | Dermatology | 4955 Van Nuys Blvd Ste 516, Sherman Oaks, CA 91403-1832 | 2018-02-15 |
| 1427509959 | Northern California Medical Assoc Inc | Dermatology | 555 S Dora St Ste B, Ukiah, CA 95482-5424 | 2016-10-19 |
| 1376091553 | Integrated Dermatology of Mission Viejo, Apmc | Dermatology | 26691 Plaza Ste 230, Mission Viejo, CA 92691-6300 | 2016-09-15 |
| 1164835518 | Laila Elkeeb, M.d., Inc | Dermatology | 242 Wicker, Irvine, CA 92618-1170 | 2014-06-03 |
| 1518303924 | Christine Shaver | Dermatology | 1301 20th St Ste 570, Santa Monica, CA 90404-2118 | 2013-05-13 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
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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.