Active NPI
Bridgecare Solutions Are LLC
- Family Nurse Practitioner
- West Sacramento, CA
National Provider Identifier
1215551502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669611190 | Other | CA | NPI |
National Provider Directory
National Provider DirectoryNPI 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.