Area 4 Agency on Aging

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

AREA 4 AGENCY ON AGING

Doing business as

Agency on Aging/ Area 4

Practice address

1401 El Camino Avenue
Suite 400
Sacramento, CA 95815-2751

Phone

(916) 486-1876

NPI assigned

Mar 30, 2023

Last updated

Mar 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pam S. Miller

Title

Executive Director

Phone

(916) 710-8390

Specialties & licenses 4

Addresses

Other names 1

• Agency on Aging/ Area 4 Doing business as

Locations

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1093410128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 EL CAMINO AVENUE",
            "address_2": "SUITE 400",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958152751",
            "telephone_number": "916-486-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 EL CAMINO AVENUE",
            "address_2": "SUITE 400",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958152751",
            "telephone_number": "916-486-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AREA 4 AGENCY ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "PAM",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-710-8390"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agency on Aging/ Area 4",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Manager/Care Coordinator in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.