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NPI 1124496146 · Student in an Organized Health Care Education/Training Program · Sacramento, CA
Provider details
- NPI number
- 1124496146
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
83% 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
6833 Stockton Blvd
Suite 485
Sacramento, CA 95823-2372
Phone: (916) 394-0800
Fax: (916) 429-7824
Street-level locationGet directions
Mailing address
6833 Stockton Blvd
Sacramento, CA 95823-2372
Registry dates
- Enumerated
- 2015-09-08
- Last updated
- 2015-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.