John J Jacisin (NPI# 1942301114, PAC ID# 9931125648) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1942301114 |
| PAC ID by PECOS | 9931125648 |
| Professional Enrollment ID | I20090122000777 |
| Full Name | John J Jacisin |
| Organization Legal Name | SUTTER VALLEY MEDICAL FOUNDATION |
| Address |
600 Coffee Rd Modesto CA 95355-4201 |
| Gender | M |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 1968 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 9830094515 |
| Number of Group Practice Members | 1357 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1011 Sylvan Ave, Modesto, CA 95350-1693 | 2095504780 | SUTTER VALLEY MEDICAL FOUNDATION |
| 1011 Sylvan Ave, Suite C, Modesto, CA 95350-1693 | 2095504780 | SUTTER VALLEY MEDICAL FOUNDATION |
| 600 Coffee Rd, Modesto, CA 95355-4201 | SUTTER VALLEY MEDICAL FOUNDATION |
| Organization Legal Name | SUTTER VALLEY MEDICAL FOUNDATION |
| Physicians | 1565 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Swe Than | Internal Medicine | Sutter Valley Medical Foundation | 1195 Queen Ann Dr, Sunnyvale, CA 94087-2240 |
| Manjinder Kaur | Rheumatology | Sutter Valley Medical Foundation | 1020 29th St, Sacramento, CA 95816-5173 |
| Kimberly Ann Riggs | Physical Therapy | Sutter Valley Medical Foundation | 685 Twelve Bridges Dr, Suite A, Lincoln, CA 95648-8689 |
| Andrea Lim Beyaoju | Nurse Practitioner | Sutter Valley Medical Foundation | 3161 L St, Sacramento, CA 95816-5234 |
| Anitha Choorakulam George | Nurse Practitioner | Sutter Valley Medical Foundation | 3425 Coffee Rd, Suite A2, Modesto, CA 95355-1582 |
| David Wong | Physical Therapy | Sutter Valley Medical Foundation | 420 B St, Yuba City, CA 95991-5070 |
| Julie Debra Hunt | Nurse Practitioner | Sutter Valley Medical Foundation | 4040 Sunrise Blvd, Suite 130, Rancho Cordova, CA 95742-6922 |
| Lakhvir Kaur | Internal Medicine | Sutter Valley Medical Foundation | 3 Medical Plaza Dr, Roseville, CA 95661-3088 |
| Gokul Budati | Family Medicine | Sutter Valley Medical Foundation | 16911 Willow Glen Rd, Brownsville, CA 95919-9707 |
| Katherine Melissa Sadoff | Occupational Therapy | Sutter Valley Medical Foundation | 2720 Low Ct, Fairfield, CA 94534-9771 |
| Street Address |
600 COFFEE RD |
| City | MODESTO |
| State | CA |
| Zip | 95355-4201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rahim Fazel | Diagnostic Radiology | Sutter Valley Medical Foundation | 600 Coffee Rd, Modesto, CA 95355-4201 |
| Alexis L Dasig | Preventative Medicine | Sutter Valley Medical Foundation | 600 Coffee Rd, Modesto, CA 95355-4201 |
| Martin F Pricco | Preventative Medicine | Sutter Valley Medical Foundation | 600 Coffee Rd, Modesto, CA 95355-4201 |
| Arlaine Gutierrez | Pediatric Medicine | Sutter Valley Medical Foundation | 600 Coffee Rd, Modesto, CA 95355-4201 |
| Constance R Wylie | Nurse Practitioner | Sutter Bay Medical Foundation | 600 Coffee Rd, Modesto, CA 95355-4201 |
| Shawn R Vanbockel | Diagnostic Radiology | Sutter Valley Medical Foundation | 600 Coffee Rd, Modesto, CA 95355-4201 |
| Ripudaman Singh Munjal | Hospitalist | Sutter Valley Medical Foundation | 600 Coffee Rd, Modesto, CA 95355-4201 |
| Thomas A Kraft | Physician Assistant | Sutter Valley Medical Foundation | 600 Coffee Rd, Modesto, CA 95355-4201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naihsien D Chen | Internal Medicine | 1303 Mable Ave, Modesto, CA 95355-1119 | |
| Greg A Vigna | Physical Medicine and Rehabilitation | Greg Vigna Md Clcp | 1303 Mable Ave, Modesto, CA 95355-1119 |
| David D Nisley | Physician Assistant | Greg Vigna Md Clcp | 1303 Mable Ave, Modesto, CA 95355-1119 |
| Patrick N Rhoades | Physical Medicine and Rehabilitation | 1300 Mable Ave, Suite 2, Modesto, CA 95355-1120 | |
| Sandhya Ravichandran | Anesthesiology | Medical Anesthesia Consultants Medical Group Inc | 1300 Mable Ave, Suite 1, Modesto, CA 95355-1120 |
| L Edward Elliott | Optometry | L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr | 3601 Coffee Rd, Modesto, CA 95355-1161 |
| Mutahir U Khan | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Rajesh Kumar Dubey | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Kent Hon-wah Wong | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Joydev Acharya | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Find all physicians in zip 95355 | |||
| City | MODESTO |
| Zip Code | 95355 |
| Specialty | PSYCHIATRY |
| City + Specialty | MODESTO + PSYCHIATRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.