MEDICARE: JUNE MEDICAL GROUP INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1114868106
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUNE MEDICAL GROUP INC.

Provider Business Mailing Address
First Line	:	1401 21ST ST STE R
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95811-5226
Country	:	US
Telephone Number	:	650-582-1008
Fax Number	:	650-582-1007

Provider Business Practice Location Address
First Line	:	1580 W EL CAMINO REAL STE 7
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-2462
Country	:	US
Telephone Number	:	650-582-1008
Fax Number	:	650-582-1007

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KISHORE B KHANKARI
Credential	:	MD
Telephone Number	:	312-730-4223

Provider Enumeration Date	:	04/02/2026
Last Update Date	:	04/02/2026

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