Organization Active NPI

Bridgecare Solutions Are LLC

  • Family Nurse Practitioner
  • West Sacramento, CA
National Provider Identifier
1215551502
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BRIDGECARE SOLUTIONS ARE LLC
Practice address
612 Watercolor Lane
West Sacramento, CA 95605
Phone
(530) 788-8562
NPI assigned
Jun 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Authorized official

Name
Florence Soba Ajoku
Title
Ceo
Phone
(530) 788-8562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

612 Watercolor Lane
West Sacramento, CA 95605

Mailing address

813 Harbor Blvd # 294
West Sacramento, CA 95691-2201
Phone (530) 788-8562

Other identifiers 1

IdentifierTypeStateIssuer
1669611190OtherCANPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1215551502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 HARBOR BLVD # 294",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956912201",
            "telephone_number": "530-788-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 WATERCOLOR LANE",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "95605",
            "telephone_number": "530-788-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGECARE SOLUTIONS ARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "SOBA AJOKU",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-788-8562"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669611190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.