Imani Malieka Richardson

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

5007 Kenneth Ave
Fair Oaks, CA 95628-5329

Phone

(530) 746-1512

NPI assigned

Mar 12, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Progress Ranch Treatment Services for Children

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Fair Oaks, CA
  • NPI 1932911419
  NPD

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1841099629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8862 ADUR RD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956245206",
            "telephone_number": "925-877-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5007 KENNETH AVE",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956285329",
            "telephone_number": "530-746-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "IMANI",
        "middle_name": "MALIEKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genevieve Reilley, PHD
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• Arlene Reyes
• Brandon Joseph Reza, LVN
• Carol Rhodes Wittich, LCSW
• Reuben Michael Richer
• Madalyn Riggs
• Brian Rioux, CADC-II
• River City Dental Group
• RNJ Enterprises LLC

• Adult Companion in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Adult Companion in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.