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NPI Code Detail

MEDICARE: PROF. AMBER D PALMA

MEDICARE: PROF. AMBER D PALMA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508989112
Entity Type Code : Individual
Provider Name (Legal Business Name) : PROF. AMBER D PALMA
Provider Business Mailing Address
First Line : 3628 MADISON AVE
Second Line :
City : NORTH HIGHLANDS
State : CA
Zip : 95660-5069
Country : US
Telephone Number : 916-388-3231
Fax Number :
Provider Business Practice Location Address
First Line : 6833 STOCKTON BLVD STE 485
Second Line :
City : SACRAMENTO
State : CA
Zip : 95823-2376
Country : US
Telephone Number : 916-394-0800
Fax Number : 916-394-0800
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2007
Last Update Date : 04/04/2025

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