Healthcare Provider Details

I. General information

NPI: 1386581668
Provider Name (Legal Business Name): KARITZA ELIZABETH REYES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 RESPONSE RD
SACRAMENTO CA
95815-4801
US

IV. Provider business mailing address

2225 NATOMAS PARK DR UNIT 4303
SACRAMENTO CA
95833-3066
US

V. Phone/Fax

Practice location:
  • Phone: 916-492-1828
  • Fax:
Mailing address:
  • Phone: 916-690-2365
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95039356
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: