Individual provider Active NPI

Nilofar Ahmadi

  • Case Manager/Care Coordinator
  • Sacramento, CA
National Provider Identifier
1124732730
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
7415 Henrietta Dr
Sacramento, CA 95822-5142
Phone
(916) 520-7399
NPI assigned
Jan 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

7415 Henrietta Dr
Sacramento, CA 95822-5142

Mailing address

10850 Gold Center Dr Ste 325
Rancho Cordova, CA 95670-6177

Other practice location 1

3440 Viking Dr
Sacramento, CA 95827-2844
Phone (916) 262-8598

Other practice location 2

505 M St
Rio Linda, CA 95673-2218
Phone (916) 287-4067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sacramento Past Accepting new patients

Organizations & group practices 1

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": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1124732730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 GOLD CENTER DR STE 325",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7415 HENRIETTA DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958225142",
            "telephone_number": "916-520-7399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3440 Viking Dr",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958272844",
            "country_code": "US",
            "telephone_number": "916-262-8598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 M St",
            "address_purpose": "LOCATION",
            "city": "Rio Linda",
            "state": "CA",
            "postal_code": "956732218",
            "country_code": "US",
            "telephone_number": "916-287-4067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMADI",
        "first_name": "NILOFAR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.