Provider Demographics
NPI:1790704286
Name:FISHER, JOHN J (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:J
Last Name:FISHER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2929 K ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5122
Mailing Address - Country:US
Mailing Address - Phone:916-374-5500
Mailing Address - Fax:916-374-5540
Practice Address - Street 1:2929 K ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5122
Practice Address - Country:US
Practice Address - Phone:916-374-5500
Practice Address - Fax:916-374-5540
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2012-03-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA22375207RH0000X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACJ375ZMedicare PIN
CA00A223750Medicare ID - Type Unspecified
A23042Medicare UPIN