Healthcare Provider Details

I. General information

NPI: 1003706599
Provider Name (Legal Business Name): AK DOMA MEDICAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2025
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2710 GATEWAY OAKS DR STE 100
SACRAMENTO CA
95833-3505
US

IV. Provider business mailing address

2915 CALIFORNIA AVE
CARMICHAEL CA
95608-4501
US

V. Phone/Fax

Practice location:
  • Phone: 916-925-7010
  • Fax:
Mailing address:
  • Phone: 916-899-1584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. ANAMIKA DOMA
Title or Position: PHYSICIAN
Credential: DO
Phone: 916-899-1584