Healthcare Provider Details

I. General information

NPI: 1578244125
Provider Name (Legal Business Name): ALIYAH ALYSE NICOLE BELL PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2023
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 FLORIN RD
SACRAMENTO CA
95823-1802
US

IV. Provider business mailing address

3800 FLORIN RD
SACRAMENTO CA
95823-1802
US

V. Phone/Fax

Practice location:
  • Phone: 916-341-0575
  • Fax: 916-341-0122
Mailing address:
  • Phone: 916-341-0575
  • Fax: 916-341-0122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA64298
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberPA64298
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: