Provider Demographics
NPI:1033245816
Name:GUARDINO, JASON M (DO)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:M
Last Name:GUARDINO
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:6600 BRUCEVILLE RD
Mailing Address - Street 2:GASTROENTEROLOGY MOB 2 / 3RD FLOOR
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-4671
Mailing Address - Country:US
Mailing Address - Phone:916-688-6675
Mailing Address - Fax:
Practice Address - Street 1:6600 BRUCEVILLE RD
Practice Address - Street 2:GASTROENTEROLOGY MOB 2 / 3RD FLOOR
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-4671
Practice Address - Country:US
Practice Address - Phone:916-688-6675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2021-12-14
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A9941207RG0100X
OH8299207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology