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

Mr. Avinesh Prakash

Individual provider Nurse Practitioner · NPI 1629603667

Mr. Avinesh Prakash is a Nurse Practitioner in Sacramento, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone: (916) 734-8556
Show map & directions

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

Additional practice locations (1)

  • 1441 Florida Ave, Modesto, CA 95350-4404 — (209) 576-3525

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95014139 (CA)

Record details

NPI number1629603667
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 10, 2020
Last updated in NPPESJuly 29, 2021
Certification dateJuly 29, 2021

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