Kujok Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KUJOK MEDICAL CORPORATION

Practice address

10064 Bruceville Rd Ste 140B
Elk Grove, CA 95757-9518

Phone

(916) 472-0317

NPI assigned

Nov 5, 2025

Organization subpart

No

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

Authorized official

Name

Valerie Estrada

Title

Medical Credentialing Manager

Phone

(469) 718-2768

Specialties & licenses 1

Addresses

Other names 1

• PDS Medical Group Whitelock Doing business as

Tax ID family

Kujok Medical Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kujok Medical Corporation

  • Family Medicine Physician
  • Roseville, CA
  • NPI 1952271827
  NPD tax ID

Locations

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1114896297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660048",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752662901",
            "telephone_number": "916-472-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10064 BRUCEVILLE RD STE 140B",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957579518",
            "telephone_number": "916-472-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUJOK MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "MEDICAL CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "469-718-2768"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PDS Medical Group Whitelock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany-Jade Kreys, PHARMD
• Brandy Krueg
• Marjo Versoza Kuang, D.C.
• Elizabeth A. Kubiak, MD
• Matthew Kudilil
• Kareesh Kumar
• Marissa S Kumar
• Natasha Kumar
• Ria Kumar
• Shandika Kumar

• Family Medicine Physician in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.