Provider Demographics
NPI:1689748014
Name:JOHN H ONEAL, MD, A PC
Entity Type:Organization
Organization Name:JOHN H ONEAL, MD, A PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:H
Authorized Official - Last Name:ONEAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-922-8329
Mailing Address - Street 1:601 UNIVERSITY AVE STE 141
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-6738
Mailing Address - Country:US
Mailing Address - Phone:916-922-8329
Mailing Address - Fax:916-922-8359
Practice Address - Street 1:601 UNIVERSITY AVE STE 141
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6738
Practice Address - Country:US
Practice Address - Phone:916-922-8329
Practice Address - Fax:916-922-8359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG310292084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty