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

Ksp Health - California LLC

Organization Pediatric Registered Nurse · NPI 1093596033

Ksp Health - California LLC is a Pediatric Registered Nurse in Sacramento, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
12
What do these letters mean?
LLC — Limited liability company
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: (234) 260-6212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Pediatric Registered Nurse Taxonomy 163WP0200X
Pediatric Dermatology Physician Taxonomy 207NP0225X
Developmental - Behavioral Pediatrics Physician Taxonomy 2080P0006X
Pediatric Neurodevelopmental Disabilities Physician Taxonomy 2080P0008X
Pediatric Allergy/Immunology Physician Taxonomy 2080P0201X
Pediatric Cardiology Physician Taxonomy 2080P0202X
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X
Pediatric Endocrinology Physician Taxonomy 2080P0205X
Pediatric Gastroenterology Physician Taxonomy 2080P0206X
Pediatric Hematology & Oncology Physician Taxonomy 2080P0207X
Behavioral Neurology & Neuropsychiatry Physician Taxonomy 2084B0040X

Record details

NPI number1093596033
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Muthukumar Vellaichamy — Owner · (234) 260-6212
Other names Ksp Health - California Llc
NPI enumeratedOctober 6, 2023
Last updated in NPPESOctober 6, 2023
Certification dateOctober 6, 2023
Mailing address6446 E Central Ave Ste 183, Wichita, KS 67206-1923

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