DR. JEFFREY RYUTA WILLIS M.D., PHD
NPI 1023301330
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since May 18, 2011
4860 Y ST STE 2400, SACRAMENTO, CA 95817(916) 734-6602(916) 734-6602 Get Directions Write a Review

NPPES record last updated: March 31, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeffrey Ryuta Willis M.d., Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFREY RYUTA WILLIS M.D., PHD (NPI 1023301330) is an individual student in an organized health care education/training program in Sacramento, California, licensed in California (A123650) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1023301330
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JEFFREY RYUTA WILLISCredential: M.D., PHD
Location Address4860 Y ST STE 2400Sacramento, CA 95817-2307
Mailing Address6565 N Charles St Ste 203Baltimore, MD 21204-5805 · (443) 849-3760 · Fax (443) 849-8138
Fax(916) 734-6602
Sole ProprietorNo
Enumeration DateMay 18, 2011
Last NPPES UpdateMarch 31, 2015
NPI 1023301330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in CA · A123650
Definition
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.
4860 Y ST STE 2400, Sacramento, CA 95817

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
4860 Y ST STE 2400
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 2400
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 2400
SACRAMENTO, CA 95817
Ophthalmology
4860 Y ST STE 2400
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 2400
SACRAMENTO, CA 95817
Ophthalmology (Neuro-ophthalmology)
4860 Y ST STE 2400
SACRAMENTO, CA 95817
Ophthalmology
4860 Y ST STE 2400
SACRAMENTO, CA 95817
Ophthalmology (Retina Specialist)
4860 Y ST STE 2400
SACRAMENTO, CA 95817

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Willis's NPI number?

The NPI number for Jeffrey Willis is 1023301330. It was assigned to this individual provider in the NPPES registry on May 18, 2011.

Where is Jeffrey Willis located?

Jeffrey Willis practices at 4860 Y St Ste 2400, Sacramento, CA 95817. The listed phone number is (916) 734-6602.

What is Jeffrey Willis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jeffrey Willis was last updated on March 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.