Healthcare Provider Details

I. General information

NPI: 1376480202
Provider Name (Legal Business Name): KAIRIA SHARIFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAI SHARIFF

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 HURLEY WAY STE 185D
SACRAMENTO CA
95825-3223
US

IV. Provider business mailing address

8399 FOLSOM BLVD # 4014
SACRAMENTO CA
95826-3544
US

V. Phone/Fax

Practice location:
  • Phone: 855-454-3387
  • Fax:
Mailing address:
  • Phone: 855-454-3387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: