MEDICARE: NICHOLAS VOONG DELIZO

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	101YS0200X	School Counselor		CA

General Provider Information

NPI Number	:	1689539421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS VOONG DELIZO

Provider Business Mailing Address
First Line	:	6000 JED SMITH DRIVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95819
Country	:	US
Telephone Number	:	916-278-6011
Fax Number	:

Provider Business Practice Location Address
First Line	:	6000 JED SMITH DRIVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95819
Country	:	US
Telephone Number	:	916-278-6011
Fax Number	:

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

Provider Enumeration Date	:	12/23/2025
Last Update Date	:	12/23/2025

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Directions to “ NICHOLAS VOONG DELIZO ” Practice Location

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