JERROLD W. CHRISTENSEN P.A.-C NPI 1770684318

NPI Information

NPI: 1770684318
Provider Name: JERROLD W. CHRISTENSEN, P.A.-C
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

Address:
3160 FOLSOM BLVD
SACRAMENTO, CA
ZIP 95816
Phone: (916) 733-3333
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Jerrold W. Christensen, P.A.-C is an adult medicine family medicine in Sacramento, CA. The provider is definition to come. Jerrold W. Christensen, P.A.-C NPI is 1770684318. 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:

3160 FOLSOM BLVD
SACRAMENTO, CA
ZIP 95816
Phone: (916) 733-3333

The enumeration date for this NPI number is 9/26/2006 and was last updated on 7/8/2007.

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
1	207QA0505X	Family Medicine	Adult Medicine	PA11633	CALIFORNIA	Yes

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
1	461128	OTHER	CALIFORNIA	INTERPLAN
2	0PA116330	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
3	90080941	OTHER	CALIFORNIA	PACIFICARE
4	129961	OTHER	CALIFORNIA	HEALTH NET
5	PA11633	MEDICAID	CALIFORNIA
6	1750253	OTHER	CALIFORNIA	GREAT WEST
7	2042467	OTHER	CALIFORNIA	CIGNA
8	5991534	OTHER	CALIFORNIA	AETNA
9	A34981	MEDICARE UPIN
10	PA11633	OTHER	CALIFORNIA	BLUE CROSS
11	2680941	OTHER	CALIFORNIA	UNITED HEALTHCARE

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: 11/14/2023

NPI Synchronization or Removal

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