Healthcare Provider Details

I. General information

NPI: 1174482913
Provider Name (Legal Business Name): FUSIONCAREAI-CA, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2026
Last Update Date: 01/19/2026
Certification Date: 01/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 MILLER DR
DAVIS CA
95616-1905
US

IV. Provider business mailing address

1011 MILLER DR
DAVIS CA
95616-1905
US

V. Phone/Fax

Practice location:
  • Phone: 916-848-8569
  • Fax:
Mailing address:
  • Phone: 916-848-8569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: ASHISH ATREJA
Title or Position: PRESIDENT
Credential: MD, MPH
Phone: 916-848-8569