Healthcare Provider Details

I. General information

NPI: 1073869715
Provider Name (Legal Business Name): RUI ZHANG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2012
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8100 TIMBERLAKE WAY STE D
SACRAMENTO CA
95823-5409
US

IV. Provider business mailing address

8100 TIMBERLAKE WAY STE D
SACRAMENTO CA
95823-5409
US

V. Phone/Fax

Practice location:
  • Phone: 916-235-9292
  • Fax: 916-775-0319
Mailing address:
  • Phone: 916-235-9292
  • Fax: 916-775-0319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberC202086
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberC202086
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberC202086
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberC202086
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: