MEDICARE: DR. DONALD J CLUTTER MD

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	207YX0905X	Otolaryngology/Facial Plastic Surgery Physician	C40784	CA
2	207YS0123X	Facial Plastic Surgery Physician	C40784	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	040007824	OTHER	CA	RR MEDICARE PIN

General Provider Information

NPI Number	:	1598768277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD J CLUTTER MD

Provider Business Mailing Address
First Line	:	1111 EXPOSITION BLVD BLDG 700
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95815-4314
Country	:	US
Telephone Number	:	916-736-3399
Fax Number	:	916-233-4171

Provider Business Practice Location Address
First Line	:	1561 CREEKSIDE DR STE 180
Second Line	:
City	:	FOLSOM
State	:	CA
Zip	:	95630-3495
Country	:	US
Telephone Number	:	916-984-8830
Fax Number	:	916-984-8834

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	10/30/2020

Similar Medicare Providers

1407809304 — DR. HEMANT S KUDRIMOTI MD PHD
Practice Location Address:

1561 CREEKSIDE DR STE 170
FOLSOM, CA
95630-3495

Practice Phone: 916-351-4825
Practice Fax: 916-984-2055

1972625770 — KIMBERLY KNUDSEN
Practice Location Address:

1561 CREEKSIDE DR STE 180
FOLSOM, CA
95630-3495

Practice Phone: 916-984-8830
Practice Fax: 916-984-8834

1598012908 — XIAOLING LI
Practice Location Address:

1561 CREEKSIDE DR STE 180
FOLSOM, CA
95630-3495

Practice Phone: 916-984-8830
Practice Fax: 916-984-8834

1982955183 — DANIEL J COOPER
Practice Location Address:

1561 CREEKSIDE DR STE 150
FOLSOM, CA
95630-3495

Practice Phone: 916-983-2193
Practice Fax:

1972063378 — DR. SIMONE ALEXANDRA BARKER MD
Practice Location Address:

1561 CREEKSIDE DR STE 180
FOLSOM, CA
95630-3495

Practice Phone: 916-984-8830
Practice Fax: 916-984-8834

1609501733 — DR. AVIVA FLIKER MD
Practice Location Address:

2330 POST ST STE 500
SAN FRANCISCO, CA
94115-3495

Practice Phone: 415-885-7700
Practice Fax:

Directions to “ DR. DONALD J CLUTTER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.