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

Demi Famisan

Individual provider Specialist · NPI 1417788035

Demi Famisan is a Specialist in Sacramento, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

4610 X St
Sacramento, CA 95817-2200
Phone: (818) 648-9122
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1417788035
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 13, 2024
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024

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