Demetria Charneice McClusky

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN759812 Issued in CA

Practice address

1085 Sandringham Way
Roseville, CA 95661-5321

Phone

(916) 642-7800

Fax

(888) 870-9642

NPI assigned

Jun 2, 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

State licenses

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

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1669304713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7697 BETH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958321229",
            "telephone_number": "916-642-7800",
            "fax_number": "888-870-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 SANDRINGHAM WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956615321",
            "telephone_number": "916-642-7800",
            "fax_number": "888-870-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLUSKY",
        "first_name": "DEMETRIA",
        "middle_name": "CHARNEICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN759812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine McClay
• Amanda Roberts McClintock, LMFT
• Kyle R McClintock, D.O.
• Jeffrey McClure, DDS
• Stephen Gary McClure, PH.D.
• Megan McColley
• McComb Dental Corp (Adventure Kids Dental)
• Jeffrey D McComb, DDS
• Kierra McComb
• Kylie Breane McCord

• Licensed Vocational Nurse in Roseville, CA
• Providers in Roseville, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.