Organization Active NPI

Entheo Clinic, a Professional Medical Corporation

  • Psychiatry Physician
  • Roseville, CA
National Provider Identifier
1871422790
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ENTHEO CLINIC, A PROFESSIONAL MEDICAL CORPORATION
Practice address
1700 Eureka Rd Ste 155
Roseville, CA 95661-7786
Phone
(916) 304-2214
Fax
(916) 938-2250
NPI assigned
May 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Rian Kabir, MDNPI 1639795743
Title
Founder
Phone
(916) 304-2214

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1700 Eureka Rd Ste 155
Roseville, CA 95661-7786

Mailing address

1700 Eureka Rd Ste 155
Roseville, CA 95661-7786
Phone (916) 304-2214

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1778889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1871422790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 EUREKA RD STE 155",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956617786",
            "telephone_number": "916-304-2214",
            "fax_number": "916-938-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 EUREKA RD STE 155",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956617786",
            "telephone_number": "916-304-2214",
            "fax_number": "916-938-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTHEO CLINIC, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-16",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "KABIR",
        "authorized_official_first_name": "RIAN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "916-304-2214",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.