Individual provider Active NPI

Pauline Dollaga

  • Family Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1962207001
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95033966 Issued in CA
Practice address
333 University Ave Ste 120
Sacramento, CA 95825-6532
Phone
(916) 929-8564
NPI assigned
Feb 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95033966 CA Primary

Addresses

Primary practice location

333 University Ave Ste 120
Sacramento, CA 95825-6532

Mailing address

5026 Lady Di Way
Elk Grove, CA 95758-4170
Phone (209) 445-5603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250801001924 CA Practitioner - Nurse Practitioner 9638687684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Nephrology Medical GroupGroup PAC ID 5799736427, 22 clinicians

Practice addresses (Care Compare)

333 University Ave
Suite 120
Sacramento, CA 95825-6532
Phone (916) 929-8564

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Nephrology Medical Group CurrentSince Jun 1, 2025 Accepting new patients

Locations

1111 Exposition Blvd
Ste 300
Sacramento, CA 95815
Phone (916) 564-6232

333 University Ave
Ste 120
Sacramento, CA 95825
Phone (916) 929-8564

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1962207001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5026 LADY DI WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957584170",
            "telephone_number": "209-445-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 UNIVERSITY AVE STE 120",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256532",
            "telephone_number": "916-929-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLLAGA",
        "first_name": "PAULINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95033966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.