Healthcare Provider Details

I. General information

NPI: 1437672102
Provider Name (Legal Business Name): NORCAL SNORE AND SLEEP SOLUTIONS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2017
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 E BIDWELL ST STE 100
FOLSOM CA
95630-3455
US

IV. Provider business mailing address

2350 E BIDWELL ST STE 100
FOLSOM CA
95630-3627
US

V. Phone/Fax

Practice location:
  • Phone: 916-983-9800
  • Fax: 916-983-6100
Mailing address:
  • Phone: 916-542-7996
  • Fax: 916-983-6100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number56438
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. SIRISHA KRISHNAMURTHY
Title or Position: OWNER DOCTOR
Credential: DDS
Phone: 916-542-7996