Dr. Andrew Lester Juris, MD
Pediatrics, Pediatric Cardiology in Sacramento, CA. Individual provider (NPI-1).
NPI number1376537639
StatusActive
Last updated in NPPESMar 19, 2012
Details
- NPI
- 1376537639
- Entity type
- Individual (NPI-1)
- Name
- Dr. Andrew Lester Juris
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2005
- Last updated
- Mar 19, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0202X | Pediatrics, Pediatric Cardiology | A36417 | CA | Yes |
Practice location
5609 J StSuite A
Sacramento, CA 95819-3957
Phone 916-452-5391 · Fax 916-452-7471
Mailing address
5609 J StSuite A
Sacramento, CA 95819-3957
Phone 916-452-5391 · Fax 916-452-7471
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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