Healthcare Provider Details

I. General information

NPI: 1346809803
Provider Name (Legal Business Name): CARINA MAY ZULUETA MSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2019
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 CAPITOL AVE
SACRAMENTO CA
95816-6039
US

IV. Provider business mailing address

10000 WAGONER WAY
ELK GROVE CA
95757-6416
US

V. Phone/Fax

Practice location:
  • Phone: 916-887-0000
  • Fax:
Mailing address:
  • Phone: 650-290-2921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95066899
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95029027
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number209035873
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: