Individual provider Active NPI

Kaori Sawada, NP

  • Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1013785609
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP95026858 Issued in CA
Practice address
8445 Camino Santa Fe Ste 215
San Diego, CA 92121-2650
Phone
(619) 541-3246
NPI assigned
Dec 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP95026858 CA Primary

Addresses

Primary practice location

8445 Camino Santa Fe Ste 215
San Diego, CA 92121-2650

Mailing address

9301 Elberon Way
Elk Grove, CA 95758-7637
Phone (916) 955-9767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240115001773 CA Practitioner - Nurse Practitioner 9931551918 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capitol Urgent Care IncGroup PAC ID 5294992343, 12 clinicians
Elk Grove Urgent Care IncGroup PAC ID 0648340976, 15 clinicians

Practice addresses (Care Compare)

7200 S Land Park Dr
Suite 100
Sacramento, CA 95831-3669
Phone (916) 422-9110

9045 Bruceville Rd
Suite 100
Elk Grove, CA 95758-5950
Phone (916) 479-9110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95026858CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Myndfull Care Management California PC CurrentSince Jan 1, 2024 Accepting new patients
All Inclusive Medical Services Urgent Care, Inc. CurrentSince Jun 1, 2024 Accepting new patients
All Inclusive Medical Services, Inc CurrentSince Jun 1, 2024 Accepting new patients
Capitol Urgent Care Inc CurrentSince Oct 21, 2024 Accepting new patients
Elk Grove Urgent Care Inc CurrentSince Oct 21, 2024 Accepting new patients
Myndfull Care California PC CurrentSince Mar 1, 2024 Accepting new patients
California Care Wellness Medical Center Inc. CurrentSince Jan 1, 2024 Accepting new patients
Geri Connection CurrentSince Jan 1, 2024 Accepting new patients

Locations

5900 Coyle Ave
Ste A
Carmichael, CA 95608
Phone (916) 330-4447

5900 Coyle Ave
Ste B
Carmichael, CA 95608
Phone (916) 349-7600

9045 Bruceville Rd
Ste 100
Elk Grove, CA 95758
Phone (916) 479-9110

15644 Pomerado Rd
Ste 202
Poway, CA 92064
Phone (619) 320-8090

391 Howe Ave
Ste 150
Sacramento, CA 95825
Phone (916) 285-5300

7200 S Land Park Dr
Ste 100
Sacramento, CA 95831
Phone (916) 422-9110

6280 Jackson Dr
Ste 8
San Diego, CA 92119
Phone (619) 464-1607

8445 Camino Santa Fe
Ste 215
San Diego, CA 92121
Phone (619) 541-3246

9436 W Lake Mead Blvd
Ste 5
Las Vegas, NV 89134
Phone (702) 328-7648

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1013785609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 ELBERON WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587637",
            "telephone_number": "916-955-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8445 CAMINO SANTA FE STE 215",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212650",
            "telephone_number": "619-541-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWADA",
        "first_name": "KAORI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95026858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.