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Theophil Jantz, D.O., Inc

NPI 1902017932ActiveOrganization· Surgery· Fort Bragg, CA

Surgery in Fort Bragg, California, registered in NPPES in May 2007. The authorized official on file is Theophil Jantz, D.O., Owner.

Overview

NPI1902017932
StatusActive
Entity typeOrganization
NPI issuedMay 24, 2007
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Surgery Primary208600000X20A9193CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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