Active NPI
Khira Lauriah Banks
- Case Manager/Care Coordinator
- Sacramento, CA
National Provider Identifier
1477056513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 630 Bercut Dr Ste C
Sacramento, CA 95811-0110 - Phone
- (916) 441-3819
- Fax
- (916) 441-6377
- NPI assigned
- Mar 15, 2018
- Sex
- Female
- Sole proprietor
- No
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
630 Bercut Dr Ste C
Sacramento, CA 95811-0110
Mailing address
650 Candela Cir
Sacramento, CA 95835-2099
Phone (916) 389-5511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 15, 2018.
{
"created_epoch": "1521072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521072000000",
"number": "1477056513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 CANDELA CIR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958352099",
"telephone_number": "916-389-5511"
},
{
"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": "916-441-3819",
"fax_number": "916-441-6377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "KHIRA",
"middle_name": "LAURIAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-15",
"last_updated": "2018-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"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 Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.