SUNRISE HEALTH & WELLNESS CENTER LLC NPI 1952809592

NPI Information

NPI: 1952809592
Provider Name: SUNRISE HEALTH & WELLNESS CENTER, LLC
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 05D2165384

Address:
10089 FOLSOM BLVD. SUITES A & C
RANCHO CORDOVA, CA
ZIP 95670
Phone: (916) 366-6531
Get Directions

SUNRISE HEALTH & WELLNESS CENTER, LLC is an addiction medicine family medicine in Rancho Cordova, CA. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. SUNRISE HEALTH & WELLNESS CENTER, LLC NPI is 1952809592. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10089 FOLSOM BLVD. SUITES A & C
RANCHO CORDOVA, CA
ZIP 95670-935
Phone: (916) 366-6531

The provider's authorized official is Ernest Vasti .
The authorized official title is Owner and has the following contact phone number (209) 463-0891.

The CLIA number assigned to this NPI record is 05D2165384 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2018 and was last updated on 10/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0401X	Family Medicine	Addiction Medicine	G54133	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »