MEDICARE: KA YI (YUKI) NG

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
1	133V00000X	Registered Dietitian	86118104	CA

General Provider Information

NPI Number	:	1588512214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KA YI (YUKI) NG

Provider Business Mailing Address
First Line	:	1755 FERN GLEN AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-2681
Country	:	US
Telephone Number	:	530-574-9877
Fax Number	:

Provider Business Practice Location Address
First Line	:	1755 FERN GLEN AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-2681
Country	:	US
Telephone Number	:	530-574-9877
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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