Healthcare Provider Details

I. General information

NPI: 1124996467
Provider Name (Legal Business Name): JARED TYLER SCHMIDT FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2025
Last Update Date: 12/27/2025
Certification Date: 12/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3104 SUNSET BLVD STE 2B
ROCKLIN CA
95677-3093
US

IV. Provider business mailing address

3104 SUNSET BLVD STE 2B
ROCKLIN CA
95677-3093
US

V. Phone/Fax

Practice location:
  • Phone: 916-626-1043
  • Fax:
Mailing address:
  • Phone: 916-626-1043
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95038063
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: