Organization Active NPI

Caremax of Sacramento, Fba, Inc

Doing business as Caremax NorCal

  • Durable Medical Equipment & Medical Supplies
  • Roseville, CA
National Provider Identifier
1528198512
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
033454 Issued in CA
Legal business name
CAREMAX OF SACRAMENTO, FBA, INC
Doing business as
Caremax NorCal
Practice address
7641 Galilee Road
Suite # 150
Roseville, CA 95678
Phone
(916) 788-9788
NPI assigned
Mar 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Fernando B. Andres
Title
C.E.O.
Phone
(916) 622-2092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 033454 CA Primary

Addresses

Primary practice location

7641 Galilee Road
Suite # 150
Roseville, CA 95678

Mailing address

1716 Melanzane Dr
Roseville, CA 95661-3986
Phone (916) 789-7391

Other names 1

  • Caremax NorCal Doing business as

National Provider Directory

National Provider Directory

Locations

7641 Galilee Rd
Ste 150
Roseville, CA 95678
Phone (916) 788-9788

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528198512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 MELANZANE DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613986",
            "telephone_number": "916-789-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7641 GALILEE ROAD",
            "address_2": "SUITE # 150",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95678",
            "telephone_number": "916-788-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREMAX OF SACRAMENTO, FBA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDRES",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "916-622-2092"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "033454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caremax NorCal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.