Healthcare Provider Details

I. General information

NPI: 1982532842
Provider Name (Legal Business Name): ROSEVILLE FAMILY URGENT CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

991 RESERVE DR
ROSEVILLE CA
95678-1350
US

IV. Provider business mailing address

680 SUNRISE AVE
ROSEVILLE CA
95661-4110
US

V. Phone/Fax

Practice location:
  • Phone: 916-786-4700
  • Fax:
Mailing address:
  • Phone: 916-786-4700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANDREW KELADA
Title or Position: PRESIDENT
Credential: MD
Phone: 916-786-4700