Healthcare Provider Details

I. General information

NPI: 1831027713
Provider Name (Legal Business Name): CALDR DISABILITY ADVOCATE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020 H ST # B
SACRAMENTO CA
95816-4416
US

IV. Provider business mailing address

3020 H ST # B
SACRAMENTO CA
95816-4416
US

V. Phone/Fax

Practice location:
  • Phone: 916-472-9031
  • Fax:
Mailing address:
  • Phone: 916-472-9031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: MOISEY KELBATYROV
Title or Position: ORGANIZATION DIRECTOR
Credential:
Phone: 916-472-9031