Provider Demographics
NPI:1962478347
Name:ISKIKIAN, JOHN A (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:A
Last Name:ISKIKIAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10470 OLD PLACERVILLE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-2539
Mailing Address - Country:US
Mailing Address - Phone:855-771-0335
Mailing Address - Fax:
Practice Address - Street 1:481 PLUMAS BLVD
Practice Address - Street 2:STE 202
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-5075
Practice Address - Country:US
Practice Address - Phone:530-751-8777
Practice Address - Fax:530-671-8897
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2015-07-10
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Provider Licenses
StateLicense IDTaxonomies
CAG49027207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G490270Medicaid
CA00G490270Medicaid
CA00G490270Medicare PIN