Provider Demographics
NPI:1992511943
Name:ACHARYA, PARITOSH (NP)
Entity type:Individual
Prefix:
First Name:PARITOSH
Middle Name:
Last Name:ACHARYA
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:PARI
Other - Middle Name:
Other - Last Name:ACHARYA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:3400 DATA DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3000 Q ST FL 2
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-7058
Practice Address - Country:US
Practice Address - Phone:916-733-3460
Practice Address - Fax:916-733-3472
Is Sole Proprietor?:No
Enumeration Date:2024-12-05
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95032206363LF0000X
CANP95032206363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily