Healthcare Provider Details

I. General information

NPI: 1013717594
Provider Name (Legal Business Name): CARLEY C THOMAS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2025
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3160 FOLSOM BLVD STE 2100
SACRAMENTO CA
95816-5266
US

IV. Provider business mailing address

3160 FOLSOM BLVD STE 2100
SACRAMENTO CA
95816-5266
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-3588
  • Fax:
Mailing address:
  • Phone: 916-734-3588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95039891
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: