Healthcare Provider Details

I. General information

NPI: 1538700257
Provider Name (Legal Business Name): RICHELLE TALAMANTES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2019
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 ARENA BLVD
SACRAMENTO CA
95834-3721
US

IV. Provider business mailing address

989 REGATTA DR
SACRAMENTO CA
95833-1747
US

V. Phone/Fax

Practice location:
  • Phone: 916-567-5400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: