Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaleidacare Health and Wellness Physician Assistant Inc

Organization Medical Physician Assistant · NPI 1124988753

Kaleidacare Health and Wellness Physician Assistant Inc is a Medical Physician Assistant in Sacramento, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1401 21st St Ste R
Sacramento, CA 95811-5226
Phone: (559) 417-7575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1124988753
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kaitlyn Crouch — President · (559) 417-7575
NPI enumeratedNovember 15, 2025
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026
Mailing address1401 21st St Ste R, Sacramento, CA 95811-5226

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