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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RENOVA SPECIALTY CARE PC
NPI 1235027293
Internal Medicine - Adolescent Medicine in Sacramento, CA

Active since June 26, 2025
1401 21ST ST STE R, SACRAMENTO, CA 95811(615) 499-3165 Get Directions Write a Review

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

About Renova Specialty Care Pc NPPES

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

RENOVA SPECIALTY CARE PC (NPI 1235027293) is a healthcare organization registered as an adolescent medicine in Sacramento, California and active in the NPI registry since June 2025. The organization lists Thomas Jokerst, Ao, as its authorized official.

NPPES Registry Identity

NPI1235027293
Entity TypeOrganization
Primary Taxonomy207RA0000X
Legal Business NameRENOVA SPECIALTY CARE PC
Location Address1401 21ST ST STE RSacramento, CA 95811-5226
Mailing Address329 S Oyster Bay Rd # 2059Plainview, NY 11803-3301
Phone(615) 499-3165
Organization SubpartNo
Authorized OfficialThomas JokerstAo · (615) 499-3165
Enumeration DateJune 26, 2025
Last NPPES UpdateJuly 31, 2026
NPPES CertifiedJuly 31, 2026
✔ NPI 1235027293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0000X
Definition
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
1401 21ST ST STE R, Sacramento, CA 95811
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

ANKANG DME LLC
Durable Medical Equipment & Medical Supplies
1401 21ST ST STE R
SACRAMENTO, CA 95811
Sacramento County (909) 284-1939
DUC LEARNING CENTER
Local Education Agency (LEA)
1401 21ST ST STE R
SACRAMENTO, CA 95811
Sacramento County (760) 262-2064
ASP A PROFESSIONAL CLINICAL COUNSELOR INC
Clinic/Center (Adult Mental Health)
1401 21ST ST STE R
SACRAMENTO, CA 95811
Sacramento County (619) 736-8361
WORLD COMPASSION PROJECT
Counselor (Addiction (Substance Use Disorder))
1401 21ST ST STE R
SACRAMENTO, CA 95811
Sacramento County (916) 741-2021
KSP HEALTH - CALIFORNIA LLC
Pediatrics
1401 21ST ST STE R
SACRAMENTO, CA 95811
Sacramento County (234) 260-6212
RICHELLE RENEE CLAYTON CERTIFIED DOULA
Doula
1401 21ST ST STE R
SACRAMENTO, CA 95811
Sacramento County (707) 408-3727
SHAWN DOUGLAS WOOD LCSW, CYC-P
Social Worker (Clinical)
1401 21ST ST STE R
SACRAMENTO, CA 95811
Sacramento County (737) 290-0897
FRYE DENTAL, INC.
Dentist (General Practice)
1401 21ST ST STE R
SACRAMENTO, CA 95811
Sacramento County (814) 777-7861

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 Renova Specialty Care PC's NPI number?

The NPI number for Renova Specialty Care PC is 1235027293. It was assigned to this organization in the NPPES registry on June 26, 2025.

Where is Renova Specialty Care PC located?

Renova Specialty Care PC is located at 1401 21st St Ste R, Sacramento, CA 95811. The listed phone number is (615) 499-3165.

What is Renova Specialty Care PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

When was this NPI record last updated?

The NPPES record for Renova Specialty Care PC was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.