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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRIAN PHILLIP ST JOHN

Active Sole Proprietor

BRIAN PHILLIP ST JOHN is a General Practice healthcare provider located in SACRAMENTO, California. NPI 1922628700 is currently active in the NPPES registry. Verify at CMS.

General Practice · SACRAMENTO, CA

Registration Details

NPI Number
1922628700
Provider Type
Individual
Gender
Male
NPI Issued
Apr 21, 2020 (6.3576871833104 yrs)
Last Updated
Aug 23, 2022
Licenses
DHS-6189Z (MN)
DHS-6189Z (MN)
DHS-6189Z (MN)
DHS-6189Z (MN)
DHS-6189Z (MN)
Sole Proprietor
Yes

Practice Information

Address
1500 11TH ST
SACRAMENTO, CA, 958145701
Browse CA providers · Browse ZIP 95814
Phone
4242853890
Primary Specialty
General Practice
208D00000X
Additional Specialty
Adult Companion
Additional Specialty
Podiatric Surgery
Additional Specialty
Home Health Aide

Other General Practice Providers in SACRAMENTO, CA

Name Credential NPI
DR. SHERYL ANN HAGGERTY M.D. 1629053699
DR. LI LI M.D. 1710959523
ALEJANDRO MERCADO MD 1700837689
DR. YIJAN RUO MD 1982655858
DR. DEBORAH CLAIRE STEWART M.D. 1437196151
MR. WILLIAM THOMAS POIRIER MD 1952328478
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.