DR. JACK JUE M.D. NPI 1497738306

NPI Information

  • NPI: 1497738306
  • Provider Name: DR. JACK JUE, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 8170 LAGUNA BLVD
    SUITE 113
    ELK GROVE, CA
    ZIP 95758
  • Phone: (916) 478-6561

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NPI Details

DR. Jack Jue, M.D. is a family medicine in Elk Grove, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Jack Jue, M.D. NPI is 1497738306. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8170 LAGUNA BLVD
SUITE 113
ELK GROVE, CA
ZIP 95758-901
Phone: (916) 478-6561
Fax: (916) 478-6573

The enumeration date for this NPI number is 11/23/2005 and was last updated on 1/25/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineG34658CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A46017MEDICARE UPIN
200G346580MEDICARE PINCALIFORNIA
300G346580MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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