Individual provider Active NPI

Paul Nicora

  • Case Manager/Care Coordinator
  • Sacramento, CA
National Provider Identifier
1356590343
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
630 Bercut Dr Ste C
Sacramento, CA 95811-0110
Phone
(916) 363-1553
Fax
(916) 363-1638
NPI assigned
Sep 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X ASW71977 CA
Social Worker 104100000X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

630 Bercut Dr Ste C
Sacramento, CA 95811-0110

Mailing address

3780 Rosin CT Ste 110
Sacramento, CA 95834-1698
Phone (916) 441-0226

Other practice location 1

3870 Rosin Ct Ste 110
Sacramento, CA 95834-1648
Phone (916) 441-0226

Other practice location 2

3870 Rosin Ct Ste 130
Sacramento, CA 95834-1647
Phone (916) 363-1553

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

State licenses

LicenseStateTypeSpecialty
ASW71977CAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1356590343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 ROSIN CT STE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341698",
            "telephone_number": "916-441-0226",
            "fax_number": "916-441-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 BERCUT DR STE C",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958110110",
            "telephone_number": "916-363-1553",
            "fax_number": "916-363-1638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3870 Rosin Ct Ste 110",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958341648",
            "country_code": "US",
            "telephone_number": "916-441-0226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3870 Rosin Ct Ste 130",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958341647",
            "country_code": "US",
            "telephone_number": "916-363-1553",
            "fax_number": "916-363-1638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICORA",
        "first_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-15",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "ASW71977",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 May 22, 2024; 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.