Healthcare Provider Details

I. General information

NPI: 1982240321
Provider Name (Legal Business Name): UNITED GLOBAL CARE FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2019
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1765 CHALLENGE WAY STE 130
SACRAMENTO CA
95815-5098
US

IV. Provider business mailing address

1765 CHALLENGE WAY STE 130
SACRAMENTO CA
95815-5098
US

V. Phone/Fax

Practice location:
  • Phone: 916-905-5363
  • Fax: 916-877-7963
Mailing address:
  • Phone: 916-905-5363
  • Fax: 916-877-7963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085D0003X
TaxonomyDiagnostic Neuroimaging (Radiology) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SIMA DERMISHYAN
Title or Position: CEO
Credential: RDMS
Phone: 916-752-7750