Healthcare Provider Details

I. General information

NPI: 1538013990
Provider Name (Legal Business Name): KASTURI MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1321 HOWE AVE STE 111
SACRAMENTO CA
95825-3365
US

IV. Provider business mailing address

1321 HOWE AVE STE 111
SACRAMENTO CA
95825-3365
US

V. Phone/Fax

Practice location:
  • Phone: 916-333-4906
  • Fax:
Mailing address:
  • Phone: 916-333-4906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RADHIKA KASTURI
Title or Position: OFFICE MANAGER
Credential:
Phone: 916-333-4906