Dr. Jake Fisher, MD
Anesthesiology, Pediatric Anesthesiology in Sacramento, CA. Individual provider (NPI-1).
NPI number1629572011
StatusActive
Last updated in NPPESJul 31, 2023
Details
- NPI
- 1629572011
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jake Fisher
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 20, 2018
- Certification date
- Jul 31, 2023
- Last updated
- Jul 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LP3000X | Anesthesiology, Pediatric Anesthesiology | A163365 | CA | Yes |
| 207L00000X | Anesthesiology | A163365 | CA |
Practice location
4150 V St # 1200Sacramento, CA 95817-1460
Phone 916-734-5028
Mailing address
4150 V St # 1200Sacramento, CA 95817-1460
Phone 916-734-5028
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