Healthcare Provider Details

I. General information

NPI: 1982236113
Provider Name (Legal Business Name): NATALIE MARIE WINJE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2020
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 L ST STE 210
SACRAMENTO CA
95816-5248
US

IV. Provider business mailing address

4748 WINDING WAY
SACRAMENTO CA
95841-4541
US

V. Phone/Fax

Practice location:
  • Phone: 916-836-8989
  • Fax:
Mailing address:
  • Phone: 916-524-9771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number13601053-1206
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA57756
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberPA57756
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: