Healthcare Provider Details

I. General information

NPI: 1386523728
Provider Name (Legal Business Name): RANJIT KAUR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2025
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 ALTA ARDEN EXPY
SACRAMENTO CA
95825-2103
US

IV. Provider business mailing address

PO BOX 245083
SACRAMENTO CA
95824-5083
US

V. Phone/Fax

Practice location:
  • Phone: 916-481-5500
  • Fax:
Mailing address:
  • Phone: 916-298-8824
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number01194158
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: