Individual provider Active NPI

Van Harold Paloma

  • Adult Health Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1861311813
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
95040544 Issued in CA
Practice address
2300 Bell Executive LN
Sacramento, CA 95825-4068
Phone
(916) 404-6811
NPI assigned
Jul 14, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 95040544 CA Primary
Gerontology Nurse Practitioner 363LG0600X 95040544 CA

Addresses

Primary practice location

2300 Bell Executive LN
Sacramento, CA 95825-4068

Mailing address

2300 Bell Executive LN
Sacramento, CA 95825-4068

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

NPI Registry JSON

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

{
    "created_epoch": "1783987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1861311813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 BELL EXECUTIVE LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 BELL EXECUTIVE LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254068",
            "telephone_number": "916-404-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMA",
        "first_name": "VAN HAROLD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-14",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95040544",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95040544",
            "primary": false
        }
    ],
    "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 Jul 14, 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.