Healthcare Provider Details

I. General information

NPI: 1225507940
Provider Name (Legal Business Name): ASHA RANI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/26/2018
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date: 11/08/2022
Reactivation Date: 11/18/2022

III. Provider practice location address

2031 HOWE AVE STE 200
SACRAMENTO CA
95825-0178
US

IV. Provider business mailing address

3300 CAPITAL CENTER DR APT 103
RANCHO CORDOVA CA
95670-7975
US

V. Phone/Fax

Practice location:
  • Phone: 916-973-5300
  • Fax:
Mailing address:
  • Phone: 916-459-6584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW123827
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: