Provider Demographics
NPI:1174531263
Name:AMIN, JANKI P (MD)
Entity type:Individual
Prefix:
First Name:JANKI
Middle Name:P
Last Name:AMIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JANKI
Other - Middle Name:S
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3160 FOLSOM BLVD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5202
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3160 FOLSOM BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5202
Practice Address - Country:US
Practice Address - Phone:916-733-3400
Practice Address - Fax:916-733-5940
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA77083207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA2358879OtherUNITED
CA2458262OtherCIGNA
CAA77083OtherBLUE CROSS
CAMCMG123400OtherWESTERN HEATH ADVANTAGE
CA00A770830Medicaid
CA90125745OtherPACIFICARE
CA00A770830OtherBLUE SHIELD
CA62857OtherINTERPLAN
CA091608OtherHEALTH NET
CA2091599OtherFIRST HEALTH
CA1511609OtherGREAT WEST
CA000810342870OtherPHCS
CA7627298OtherAETNA
CA62857OtherINTERPLAN
CA00A770830Medicare ID - Type Unspecified