Healthcare Provider Details

I. General information

NPI: 1316486368
Provider Name (Legal Business Name): BELLA NIRVANA CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2017
Last Update Date: 07/02/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1141 SIBLEY ST
FOLSOM CA
95630-3222
US

IV. Provider business mailing address

1141 SIBLEY ST
FOLSOM CA
95630-3222
US

V. Phone/Fax

Practice location:
  • Phone: 916-222-2181
  • Fax: 916-414-8605
Mailing address:
  • Phone: 916-222-2181
  • Fax: 916-414-8605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. ALOK KRISHNA
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 916-222-2181