MEDICARE: JIMMY TON M.D.

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	A95298	CA
2	2085R0202X	Diagnostic Radiology Physician	A95298	CA

General Provider Information

NPI Number	:	1780881409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JIMMY TON M.D.

Provider Business Mailing Address
First Line	:	5621 NORTHBOROUGH DR
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95835-2122
Country	:	US
Telephone Number	:	562-208-1372
Fax Number	:

Provider Business Practice Location Address
First Line	:	5621 NORTHBOROUGH DR
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95835-2122
Country	:	US
Telephone Number	:	562-208-1372
Fax Number	:

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

Provider Enumeration Date	:	06/27/2007
Last Update Date	:	11/29/2021

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Directions to “ JIMMY TON M.D.” Practice Location

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