Individual provider Active NPI

Laudy Rizk

  • Family Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1154884484
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95010952 Issued in CA
Practice address
2433 Marconi Ave
Sacramento, CA 95821-4807
Phone
(916) 737-5555
NPI assigned
Apr 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95010952 CA Primary

Addresses

Primary practice location

2433 Marconi Ave
Sacramento, CA 95821-4807

Mailing address

777 12TH St Ste 250
Sacramento, CA 95814-1929
Phone (916) 468-4690

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
I20190910002708 CA Practitioner - Nurse Practitioner 2466781844 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

2221 Stockton Blvd
Sacramento, CA 95817-1418
Phone (916) 734-3761

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca CurrentSince Oct 2, 2022 Accepting new patients
Wellspace Health CurrentSince Aug 12, 2019 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Wellspace Health CurrentSince Aug 12, 2019 Accepting new patients
Wellspace Health Current Accepting new patients
Regents of the Univ of Ca CurrentSince Oct 2, 2022 Accepting new patients
Wellspace Nexus PastSince Aug 1, 2019 Accepting new patients

Locations

2221 Stockton Blvd
Ste B
Sacramento, CA 95817
Phone (916) 734-2111

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

777 12th St
Ste 250
Sacramento, CA 95814
Phone (916) 469-4690

2433 Marconi Ave
Sacramento, CA 95821
Phone (916) 313-8455

2221 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-2680

1820 J St
Sacramento, CA 95811
Phone (916) 550-5481

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1154884484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 12TH ST STE 250",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958141929",
            "telephone_number": "916-468-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2433 MARCONI AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958214807",
            "telephone_number": "916-737-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZK",
        "first_name": "LAUDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-12",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.