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DANA R JACQUES MD INC
NPI 1700103249
Obstetrics & Gynecology - Gynecology in Roseville, CA

Active since April 23, 2010
1082 SUNRISE AVE, SUITE 190, ROSEVILLE, CA 95661(916) 788-2000(916) 788-2010 Get Directions Write a Review

NPPES record last updated: August 9, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dana R Jacques Md Inc NPPES

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

DANA R JACQUES MD INC (NPI 1700103249) is a healthcare organization registered as a gynecology in Roseville, California and active in the NPI registry since April 2010. The organization lists Dana R Jacques, President, as its authorized official.

NPPES Registry Identity

NPI1700103249
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameDANA R JACQUES MD INC
Location Address1082 SUNRISE AVE, SUITE 190Roseville, CA 95661-4302
Mailing Address1082 Sunrise Ave, Suite 190Roseville, CA 95661-4302 · (916) 788-2000 · Fax (916) 788-2010
Phone(916) 788-2000
Fax(916) 788-2010
Organization SubpartNo
Authorized OfficialDana R JacquesPresident · (916) 788-2000
Enumeration DateApril 23, 2010
Last NPPES UpdateAugust 9, 2011
✔ NPI 1700103249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in CA · G88578
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
1082 SUNRISE AVE, Roseville, CA 95661
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Other Identifiers 1

Medicare PIND1016ACA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Dana R Jacques MD Inc's NPI number?

The NPI number for Dana R Jacques MD Inc is 1700103249. It was assigned to this organization in the NPPES registry on April 23, 2010.

Where is Dana R Jacques MD Inc located?

Dana R Jacques MD Inc is located at 1082 Sunrise Ave Suite 190, Roseville, CA 95661. The listed phone number is (916) 788-2000.

What is Dana R Jacques MD Inc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Dana R Jacques MD Inc was last updated on August 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.