Healthcare Provider Details

I. General information

NPI: 1821670415
Provider Name (Legal Business Name): RAMIN BADRI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2021
Last Update Date: 05/10/2025
Certification Date: 05/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

722 CUTTING WAY
SACRAMENTO CA
95831-4948
US

IV. Provider business mailing address

722 CUTTING WAY
SACRAMENTO CA
95831-4948
US

V. Phone/Fax

Practice location:
  • Phone: 916-879-0500
  • Fax:
Mailing address:
  • Phone: 916-879-0500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: