John J Jacisin
Medical Specialty
Professional ID
- NPI: 1942301114
- PECOS ID: 9931125648
- Enrollment ID: I20090122000777
- Credential(MD, DO, DPM):
- Medical School: University Of Michigan Medical School
- Medical School Graduation Year: 1968
Medical Practices
- Organization Name: Sutter Valley Medical Foundation
- Group Practice ID assigned by PECOS: 9830094515
- Number of Group Practice member: 1366
Location
- Address1: 1011 Sylvan Ave
- Address2: Suite C
- City: Modesto
- State: California
- Zip Code: 95350
- Phone Number: (209)550-4780
Location
- Address1: 3425 Coffee Rd
- Address2: Suite A2
- City: Modesto
- State: California
- Zip Code: 95355
- Phone Number: (209)524-9401
Location
- Address1: 600 Coffee Rd
- Address2:
- City: Modesto
- State: California
- Zip Code: 95355
- Phone Number:
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR): Yes