Healthcare Provider Details

I. General information

NPI: 1659226363
Provider Name (Legal Business Name): REBECCA MARGARET VITKAUSKAS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5340 ELVAS AVE STE 600
SACRAMENTO CA
95819-2385
US

IV. Provider business mailing address

8844 HIDDENSPRING WAY
ELK GROVE CA
95758-6153
US

V. Phone/Fax

Practice location:
  • Phone: 916-538-3545
  • Fax:
Mailing address:
  • Phone: 530-665-3910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number898906
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: