Organization Active NPI

Nightwater Health of California Apmc

  • Internal Medicine Physician
  • Sacramento, CA
National Provider Identifier
1942963442
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NIGHTWATER HEALTH OF CALIFORNIA APMC
Practice address
87 Scripps Dr Ste 100
Sacramento, CA 95825-6379
Phone
(916) 415-7010
Fax
(916) 244-0100
NPI assigned
Oct 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Authorized official

Name
Dr. Paul IkemireNPI 1477870210
Title
Ceo
Phone
(916) 500-8086

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X

Addresses

Primary practice location

87 Scripps Dr Ste 100
Sacramento, CA 95825-6379

Mailing address

111 Water St Ste 4
Exeter, NH 03833-2456
Phone (603) 247-5442

Other identifiers 1

IdentifierTypeStateIssuer
C159092OtherCAMBC

National Provider Directory

National Provider Directory

Locations

87 Scripps Dr
Ste 100
Sacramento, CA 95825
Phone (916) 415-7010

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": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1942963442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WATER ST STE 4",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332456",
            "telephone_number": "603-247-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 SCRIPPS DR STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256379",
            "telephone_number": "916-415-7010",
            "fax_number": "916-244-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIGHTWATER HEALTH OF CALIFORNIA APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "IKEMIRE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-500-8086",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBC",
            "identifier": "C159092",
            "state": "CA"
        }
    ],
    "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 Dec 16, 2022; 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.