Healthcare Provider Details

I. General information

NPI: 1649134297
Provider Name (Legal Business Name): MS. TRINISHA DENNINGS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10850 GOLD CENTER DR STE 325
RANCHO CORDOVA CA
95670-6177
US

IV. Provider business mailing address

9116 BLUE STAR LN APT 9
SACRAMENTO CA
95826-5310
US

V. Phone/Fax

Practice location:
  • Phone: 916-840-1288
  • Fax:
Mailing address:
  • Phone: 916-476-7406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: