Active NPI
Aldwin Ben-Aziz Soumare, DO, M.S.
- Psychiatry Physician
- Sacramento, CA
National Provider Identifier
1528700291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 20A25640
- Practice address
- 2230 Stockton Blvd
Sacramento, CA 95817-1353 - Phone
- (916) 734-2972
- NPI assigned
- Apr 12, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 20A25640 | CA | Primary |
Addresses
Primary practice location
2230 Stockton Blvd
Sacramento, CA 95817-1353
Mailing address
2230 Stockton Blvd
Sacramento, CA 95817-1353
Phone (916) 734-2972
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
- Credentials
- Doctor of Osteopathy, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1528700291 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1528700291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2230 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171353",
"telephone_number": "916-734-2972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171353",
"telephone_number": "916-734-2972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUMARE",
"first_name": "ALDWIN",
"middle_name": "BEN-AZIZ",
"credential": "DO, M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-12",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "20A25640",
"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 Sep 4, 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.