Active NPI
Nightwater Health of California Apmc
- Internal Medicine Physician
- Sacramento, CA
National Provider Identifier
1942963442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul Ikemire
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| General Practice Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C159092 | Other | CA | MBC |
National Provider Directory
National Provider DirectoryLocations
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.