Healthcare Provider Details

I. General information

NPI: 1083364343
Provider Name (Legal Business Name): ASHLEY MEGAN FELDKAMP MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2022
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 V ST # 1100
SACRAMENTO CA
95817-1460
US

IV. Provider business mailing address

4150 V ST # 1100
SACRAMENTO CA
95817-1460
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-2737
  • Fax:
Mailing address:
  • Phone: 916-734-2737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number190291
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: