Healthcare Provider Details

I. General information

NPI: 1275060303
Provider Name (Legal Business Name): CAPITAL NEPHROLOGY ACCESS CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2017
Last Update Date: 06/30/2021
Certification Date: 06/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 EXPOSITION BLVD, STE 300
SACRAMENTO CA
95815
US

IV. Provider business mailing address

1111 EXPOSITION BLVD, STE 300
SACRAMENTO CA
95815
US

V. Phone/Fax

Practice location:
  • Phone: 916-564-6232
  • Fax: 916-921-2586
Mailing address:
  • Phone: 916-426-1949
  • Fax: 916-921-2586

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROHIT KASHYAP
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 916-564-6232