Carissa Vukovich

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

95097855 Issued in CA

Practice address

3104 Ponte Morino Dr
Cameron Park, CA 95682-8282

Phone

(530) 621-7700

NPI assigned

Aug 7, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Capital Pediatric Cardiology Associates Inc

  • Pediatric Cardiology Physician
  • Sacramento, CA
  • NPI 1508211277
  NPD (past)
• El Dorado County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Placerville, CA
  • NPI 1316050107
  NPD (past)

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

{
    "created_epoch": "1786060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1396669743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 PONTE MORINO DR",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 PONTE MORINO DR",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828282",
            "telephone_number": "530-621-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUKOVICH",
        "first_name": "CARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-07",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "95097855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugen Tutunaru, DDS
• Amanda Rachel-Lee Vandewalker, BCBA
• PA Thao Vang, NP
• Vanessa Vargas
• Vituity - Urgent Care Services PC
• Michael Vincent Wadden, DDS
• Walgreen Co
• We Are All the Same Adult Day Program LLC
• Christopher Thomas Weston, AMFT
• Amanda Frances Wilkinson, LPCC

• Community Health Registered Nurse in Cameron Park, CA
• Providers in Cameron Park, CA by specialty
• Community Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.