DR. JEFFREY RYUTA WILLIS M.D., PHD NPI 1023301330

Student in an Organized Health Care Education/Training Program in Sacramento, CA

NPI 1023301330 Individual Male Student in an Organized Health Care Educ...

About JEFFREY WILLIS

Jeffrey Willis is a primary care provider established in Sacramento, California and his medical specialization is student in an organized health care education/training program. The NPI number of Jeffrey Willis is 1023301330 and was assigned on May 2011. The practitioner's primary taxonomy code is 390200000X with license number A123650 (CA). The provider is registered as an individual and his NPI record was last updated 6 years ago.

A primary care provider (PCP) like Dr. Jeffrey Ryuta Willis M.d., Phd sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Jeffrey Willis is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1023301330

Provider NameDR. JEFFREY RYUTA WILLIS M.D., PHD
Provider Location Address4860 Y ST STE 2400 SACRAMENTO, CA 95817
Provider Mailing Address6565 N CHARLES ST STE 203 BALTIMORE, MD 21204
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-18-2011
Last Update Date03-31-2015


Primary Taxonomy

Taxonomy Code390200000X
ClassificationStudent in an Organized Health Care Education/Training Program
TypeStudent, Health Care
License No.A123650
License StateCA
Taxonomy DescriptionAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Business Address

DR. JEFFREY RYUTA WILLIS M.D., PHD
4860 Y ST STE 2400
SACRAMENTO, CA
ZIP 95817
Phone: (916) 734-6602
Fax: (916) 734-6602

Get Directions


Mailing Address

DR. JEFFREY RYUTA WILLIS M.D., PHD
6565 N CHARLES ST STE 203
BALTIMORE, MD
ZIP 21204
Phone: (443) 849-3760
Fax: (443) 849-8138



Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramMDNo

Taxonomy Description: an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063724797DR. ROMA P. PATEL M.D.
Individual
Ophthalmology4860 Y ST STE 2400
SACRAMENTO, CA 95817
(916) 734-6602
1104243484DR. ANGELA JIANG M.D.
Individual
Ophthalmology4860 Y ST STE 2400
SACRAMENTO, CA 95817
(916) 734-6891
1134547664 JONATHAN HERNANDEZ
Individual
Ophthalmology4860 Y ST STE 2400
SACRAMENTO, CA 95817
(916) 734-6602
1235572934DR. YIN LIU M.D., PH.D.
Individual
Ophthalmology (Neuro-ophthalmology)4860 Y ST STE 2400
SACRAMENTO, CA 95817
(916) 734-6891
1275175788 PAUL A. SIEVING MD
Individual
Ophthalmology (Retina Specialist)4860 Y ST STE 2400
SACRAMENTO, CA 95817
(916) 734-6602
1275647455DR. CRISTA MARIE CORBETT O.D.
Individual
Optometrist4860 Y ST STE 2400
SACRAMENTO, CA 95817
(916) 734-6072
1295134286 ELAD MOISSEIEV MD
Individual
Ophthalmology4860 Y ST STE 2400
SACRAMENTO, CA 95817
(916) 215-0879
1306985049DR. JAMES MICHAEL WEISEL MD
Individual
Ophthalmology4860 Y ST STE 2400
SACRAMENTO, CA 95817
(916) 734-6891
1336526888 PHILIP DESOUZA MD
Individual
Ophthalmology (Retina Specialist)4860 Y ST STE 2400
SACRAMENTO, CA 95817
(916) 734-6891
1427190578DR. DAVID G CHU MD
Individual
Ophthalmology4860 Y ST STE 2400
SACRAMENTO, CA 95817
(916) 734-6891
1467942540DR. MATTHEW ALLEN DE NIEAR MD PHD
Individual
Student in an Organized Health Care Education/Training Program4860 Y ST STE 2400
SACRAMENTO, CA 95817
(916) 734-6086
1508380999DR. RALPH KYRILLOS MD
Individual
Ophthalmology4860 Y ST STE 2400
SACRAMENTO, CA 95817
1548503543 LEKHA KOPPOLU MUKKAMALA MD
Individual
Ophthalmology4860 Y ST STE 2400
SACRAMENTO, CA 95817
(916) 734-6602
1578544136 JAMES DAVID BRANDT M.D.
Individual
Ophthalmology4860 Y ST STE 2400 UC DAVIS MEDICAL CENTER - OPHTHALMOLOGY
SACRAMENTO, CA 95817
(916) 734-6818
1609295583 NATALIE HOMER MD
Individual
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)4860 Y ST STE 2400
SACRAMENTO, CA 95817
(916) 734-6602
1629279740 MELISSA TONG MD
Individual
Ophthalmology4860 Y ST STE 2400
SACRAMENTO, CA 95817
(916) 734-6602
1730348921 GLENN C YIU MD, PHD
Individual
Ophthalmology (Retina Specialist)4860 Y ST STE 2400
SACRAMENTO, CA 95817
(916) 734-6602
1750709648 JEFFREY MA M.D.
Individual
Ophthalmology (Cornea and External Diseases Specialist)4860 Y ST STE 2400
SACRAMENTO, CA 95817
(630) 399-8013
1760821375DR. HAN KIM M.D.
Individual
Ophthalmology (Glaucoma Specialist)4860 Y ST STE 2400
SACRAMENTO, CA 95817
1811332083DR. AMIRFARBOD YAZDANYAR MD/PHD
Individual
Ophthalmology (Retina Specialist)4860 Y ST STE 2400 UC DAVIS EYE CENTER
SACRAMENTO, CA 95817
(916) 734-6891

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.