Healthcare Provider Details

I. General information

NPI: 1841478237
Provider Name (Legal Business Name): PAUL JOSEPH DELCASINO CRNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2008
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 CAPITOL AVE
SACRAMENTO CA
95816-6039
US

IV. Provider business mailing address

PO BOX 631
LOTUS CA
95651-0631
US

V. Phone/Fax

Practice location:
  • Phone: 984-974-0000
  • Fax:
Mailing address:
  • Phone: 610-533-0353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number71031
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberSP009063
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number95008676
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: