Irina P Adamovich
Individual provider Active NPI Driver · Sacramento, CA
NPI 1821592940 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1821592940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- D4440855 (CA)
- Practice address
- 3900 Annadale LN Apt 40
Sacramento, CA 95821-2030 - Phone
- (916) 505-4774
- NPI assigned
- Mar 22, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D4440855 | CA | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver |
172A00000X | D4440855 | CA | Yes |
Addresses
Primary practice location
3900 Annadale LN Apt 40
Sacramento, CA 95821-2030
Mailing address
3900 Annadale LN Apt 40
Sacramento, CA 95821-2030
Phone (916) 505-4774
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11572585 | Other | CA | KAISER PERMANENTE |
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.