Healthcare Provider Details

I. General information

NPI: 1356147433
Provider Name (Legal Business Name): RICHELLE J ZARAGOZA AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2025
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 C ST STE 1500
SACRAMENTO CA
95816-3371
US

IV. Provider business mailing address

3301 C ST STE 1500
SACRAMENTO CA
95816-3371
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-7463
  • Fax:
Mailing address:
  • Phone: 916-734-7463
  • Fax: 916-734-6493

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number835946
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number95033324
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: