Healthcare Provider Details

I. General information

NPI: 1740680594
Provider Name (Legal Business Name): MELISSA DENSBY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2014
Last Update Date: 07/23/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10620 SCHIRRA AVENUE
MATHER CA
95655
US

IV. Provider business mailing address

4343 WILLIAMSBOURGH DR
SACRAMENTO CA
95823-2006
US

V. Phone/Fax

Practice location:
  • Phone: 916-922-9335
  • Fax: 916-922-9310
Mailing address:
  • Phone: 916-393-3552
  • Fax: 916-395-3683

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: