Childern'S Medical Alliance, Inc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

CHILDERN'S MEDICAL ALLIANCE, INC

Practice address

4617 Freeport Blvd Ste C
Sacramento, CA 95822-2015

Phone

(916) 422-7273

Fax

(916) 422-2127

NPI assigned

Mar 19, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Ravinder Singh Khaira, MD

Title

Ceo

Phone

(916) 798-5098

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1891371951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4617 FREEPORT BLVD STE C",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958222015",
            "telephone_number": "916-422-7273",
            "fax_number": "916-422-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4617 FREEPORT BLVD STE C",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958222015",
            "telephone_number": "916-422-7273",
            "fax_number": "916-422-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDERN'S MEDICAL ALLIANCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "KHAIRA",
        "authorized_official_first_name": "RAVINDER",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-798-5098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Chikonyora
• Child and Family Institute
• Child and Family Institute
• Jon Eric Child, PHARMD
• Lisa Lin Child, INTERN
• Candace Alice Childers
• John Bishop Childers, DDS
• Larissa Childers
• Children'S Receiving Home
• Children'S Receiving Home of Sacramento

• Exclusive Provider Organization in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Exclusive Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.