Healthcare Provider Details

I. General information

NPI: 1285503573
Provider Name (Legal Business Name): SPOZMAI SHERZAI FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2025
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7275 E SOUTHGATE DR STE 102
SACRAMENTO CA
95823-2610
US

IV. Provider business mailing address

1375 BROOKDALE CT
BRENTWOOD CA
94513-2961
US

V. Phone/Fax

Practice location:
  • Phone: 916-244-4464
  • Fax: 310-269-1609
Mailing address:
  • Phone: 925-418-9144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95040757
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number583192
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: