Healthcare Provider Details

I. General information

NPI: 1073446894
Provider Name (Legal Business Name): RONALD MCDONALD HOUSE CHARITIES OF NORTHERN CALIFORNIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

2555 49TH ST
SACRAMENTO CA
95817-2306
US

IV. Provider business mailing address

2555 49TH ST
SACRAMENTO CA
95817-2306
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-4230
  • Fax:
Mailing address:
  • Phone: 916-734-4230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLEY K WOODS
Title or Position: CONTROLLER
Credential:
Phone: 916-734-4230