Individual provider Active NPI

Darrell Fitzgerald, CPT 1

  • Clinical Medical Laboratory
  • Carmichael, CA
National Provider Identifier
1679442362
Registry record updated Nov 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
00043309 Issued in CA
Practice address
4444 Manzanita Ave Ste 6
Carmichael, CA 95608-1488
Phone
(916) 532-1468
Fax
(916) 532-1468
NPI assigned
Nov 1, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 00043309 CA Primary

Addresses

Primary practice location

4444 Manzanita Ave Ste 6
Carmichael, CA 95608-1488

Mailing address

4444 Manzanita Ave Ste 6
Carmichael, CA 95608-1488
Phone (916) 532-1468

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

State licenses

LicenseStateTypeSpecialty
00043309CAMDClinical Medical Laboratory

NPI Registry JSON

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

{
    "created_epoch": "1761955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761955200000",
    "number": "1679442362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 MANZANITA AVE STE 6",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956081488",
            "telephone_number": "916-532-1468",
            "fax_number": "916-532-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 MANZANITA AVE STE 6",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956081488",
            "telephone_number": "916-532-1468",
            "fax_number": "916-532-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "DARRELL",
        "credential": "CPT 1",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-01",
        "last_updated": "2025-11-01",
        "certification_date": "2025-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "00043309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2025; 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.