Healthcare Provider Details

I. General information

NPI: 1487564951
Provider Name (Legal Business Name): ERIC KNAPP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 47TH AVE STE 111
SACRAMENTO CA
95824-3923
US

IV. Provider business mailing address

4400 SHANDWICK DR APT 36
ANTELOPE CA
95843-5704
US

V. Phone/Fax

Practice location:
  • Phone: 916-318-0141
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: