Healthcare Provider Details

I. General information

NPI: 1407788011
Provider Name (Legal Business Name): UNITED GLOBAL CARE FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1765 CHALLENGE WAY STE 110
SACRAMENTO CA
95815-5097
US

IV. Provider business mailing address

1765 CHALLENGE WAY STE 130
SACRAMENTO CA
95815-5098
US

V. Phone/Fax

Practice location:
  • Phone: 916-905-5363
  • Fax: 916-877-7963
Mailing address:
  • Phone: 916-752-7750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: SIMA DERMISHYAN
Title or Position: CEO
Credential:
Phone: 916-905-5363