OrganizationActive
Dept of Health Services
NPI 1114146248 · Public Health or Welfare Agency · Sacramento, CA
Provider details
- NPI number
- 1114146248
- Entity type
- Organization
- Primary specialty
- Public Health or Welfare AgencyAgencies
- Organization subpart
- No
- Authorized official
- Krishna Rodriguez, Program Technician(919) 449-5996
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1500 Capitol Ave Ms4719
Sacramento, CA 95814
Phone: (916) 449-5996
Street-level locationGet directions
Mailing address
P.o. Box 997422
Sacramento, CA 95899-7422
Registry dates
- Enumerated
- 2007-04-25
- Last updated
- 2008-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.