Healthcare Provider Details

I. General information

NPI: 1912801747
Provider Name (Legal Business Name): TAISIYA SONNIK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TAISA SONNIK

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4240 CLAY CREEK WAY
SACRAMENTO CA
95838-2774
US

IV. Provider business mailing address

4240 CLAY CREEK WAY
SACRAMENTO CA
95838-2774
US

V. Phone/Fax

Practice location:
  • Phone: 916-384-7370
  • Fax:
Mailing address:
  • Phone: 916-384-7370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: