AMI KHASAKIA (NPI# 1194131649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194131649 |
| Entity Type | Individual |
| Full Name | AMI KHASAKIA |
| Credential | FNP |
| Practice Address |
3100 Douglas Blvd Roseville CA 95661-3866 |
| Mailing Address |
10470 Old Placerville Rd Ste 100 Sacramento CA 95827-2539 |
| Practice Telephone | 9167748300 |
| Practice Fax Number | 9167748327 |
| Mailing Telephone | 8009725547 |
| Enumeration Date | 2014-07-05 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95000741 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3104 Sunset Blvd Ste 2b, Rocklin, CA 956773093 | 9166240300 | 9166240631 |
| Street Address |
3100 DOUGLAS BLVD |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-3866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821090945 | Craig C Corp | Pediatrics | 3100 Douglas Blvd, Roseville, CA 95661-3866 | 2005-06-01 |
| 1568007441 | Bei Bei Lee | Physician Assistant | 3100 Douglas Blvd, Roseville, CA 95661-3866 | 2019-11-14 |
| 1023661501 | Jenina Segale | Dietitian, Registered | 3100 Douglas Blvd, Roseville, CA 95661-3866 | 2019-07-23 |
| 1063987675 | Gina M Whiteley I | Dietitian, Registered | 3100 Douglas Blvd, Roseville, CA 95661-3866 | 2018-10-10 |
| 1205341096 | Betsy Hennessy | Dietitian, Registered | 3100 Douglas Blvd, Roseville, CA 95661-3866 | 2017-12-04 |
| 1104358571 | Kenny Bains | Family Medicine | 3100 Douglas Blvd, Roseville, CA 95661-3866 | 2017-04-03 |
| 1104363449 | Patricia Marie Dixson | Nurse Practitioner | 3100 Douglas Blvd, Suite 325, Roseville, CA 95661-3866 | 2017-01-25 |
| 1063874196 | Rupinder Tumber | Dietitian, Registered | 3100 Douglas Blvd, Roseville, CA 95661-3866 | 2016-03-28 |
| 1184089260 | Cristin Mater | Registered Nurse | 3100 Douglas Blvd, Roseville, CA 95661 | 2015-12-16 |
| 1699141705 | Tandis Bishop | Dietitian, Registered | 3100 Douglas Blvd, Roseville, CA 95661-3866 | 2015-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659996478 | Mary Ann Thomas | Nurse Practitioner | 1856 Hillmont Way, Roseville, CA 95661-5818 | 2020-06-08 |
| 1205465564 | Sonja Brockman | Nurse Practitioner | 2685 Long Lake Rd Ste 105, Roseville, MN 55113-1117 | 2020-04-07 |
| 1972162931 | Georgette Marie Aneed | Nurse Practitioner | 18303 E 10 Mile Rd Ste 100, Roseville, MI 48066-4989 | 2019-06-12 |
| 1710460282 | Gerlinda Marie Gordon | Nurse Practitioner | 28811 Felician St, Roseville, MI 48066-7442 | 2018-09-11 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1205342391 | Stephanie Ridgley | Nurse Practitioner | 108 Mcmindes Ct, Roseville, CA 95747-5853 | 2017-12-27 |
| 1285148528 | Hyacinth Joy Lumapas Cassion | Nurse Practitioner | 701 Pleasant Grove Blvd Ste 125, Roseville, CA 95678-6194 | 2017-11-23 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1265960272 | Giovannina Dillon | Nurse Practitioner | 151 N Sunrise Ave Ste 1201, Roseville, CA 95661-2961 | 2017-06-02 |
| 1467802934 | Bethany Berryhill | Nurse Practitioner | 1410 Lorimer Way, Roseville, CA 95747-6036 | 2016-06-15 |
| Find all providers in ROSEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.