Kujok Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KUJOK MEDICAL CORPORATION

Doing business as

PDS Medical Group Crocker Ranch

Practice address

9055 Woodcreek Oaks Blvd Ste 150B
Roseville, CA 95747-5159

Phone

(916) 269-4623

Fax

(916) 297-4040

NPI assigned

Nov 6, 2025

Organization subpart

No

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

Authorized official

Name

Valerie Estrada

Title

Medical Credentialing Manager

Phone

(214) 718-7083

Specialties & licenses 1

Addresses

Other names 1

• PDS Medical Group Crocker Ranch Doing business as

Tax ID family

Kujok Medical Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kujok Medical Corporation

  dba PDS Medical Group Whitelock

  • Family Medicine Physician
  • Elk Grove, CA
  • NPI 1114896297
  NPD tax ID

Locations

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

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1952271827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660048",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752662901",
            "telephone_number": "702-820-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9055 WOODCREEK OAKS BLVD STE 150B",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957475159",
            "telephone_number": "916-269-4623",
            "fax_number": "916-297-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUJOK MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "MEDICAL CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "214-718-7083"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PDS Medical Group Crocker Ranch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jay W. Krzewinski, M.D.
• Brooke Kubat
• Charlotte Dai Kubicky, MD, PHD
• John Kudreyko III, PT,DPT,CSCS
• Erik Kuecher
• Jessica Wray Kukesh
• Patricia Louise Kulbeth, RD
• Arvind Kumar, M.D.
• Binay Kumar, M.D.
• Devinder Kumar, M.D.

• Family Medicine Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.