Individual
NICK MAJETICH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6401 COYLE AVE, STE 416, CARMICHAEL, CA 95608
(916) 966-3501
(916) 966-2805
Mailing address
3400 DATA DRIVE, RANCHO CORDOVA, CA 95670-7956
(916) 564-3040
(916) 564-3065
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
G62359
CA
207RI0011X
Interventional Cardiology Physician
Primary
G62359
CA
207UN0901X
Nuclear Cardiology Physician
G62359
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G623590
—
CA
01
—
060034401
RAILROAD MEDICARE
CA
05
—
GR0068230
—
CA
05
—
GR0068231
—
CA
05
—
GR0068232
—
CA
05
—
GR0068235
—
CA
05
—
GR006823B
—
CA
01
—
ZZZ47673Z
BLUE SHIELD
CA
01
—
ZZZ47675Z
BLUE SHIELD
CA
01
—
ZZZ47676Z
BLUE SHIELD
CA
01
—
ZZZ54665Z
BLUE SHIELD
CA
01
—
ZZZ62306Z
BLUE SHIELD
CA
Enumeration date
11/14/2006
Last updated
03/07/2019
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