Healthcare Provider Details

I. General information

NPI: 1023967510
Provider Name (Legal Business Name): MEDIC HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 QUINTA CT STE D
SACRAMENTO CA
95823-4310
US

IV. Provider business mailing address

65 QUINTA CT STE D
SACRAMENTO CA
95823-4310
US

V. Phone/Fax

Practice location:
  • Phone: 916-520-0904
  • Fax: 916-266-7522
Mailing address:
  • Phone: 916-520-0904
  • Fax: 916-266-7522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JASDEEP S MASUTA
Title or Position: OWNER
Credential:
Phone: 916-520-0904