Healthcare Provider Details

I. General information

NPI: 1699699413
Provider Name (Legal Business Name): JEYZEL FONSECA ROSSI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JEYZEL ALARCON FONSECA

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8425 BELVEDERE AVE STE 100
SACRAMENTO CA
95826-5911
US

IV. Provider business mailing address

9192 PERSHING AVE
ORANGEVALE CA
95662-4754
US

V. Phone/Fax

Practice location:
  • Phone: 559-530-4979
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: