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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KALEIDACARE HEALTH AND WELLNESS PHYSICIAN ASSISTANT INC.
NPI 1124988753
Physician Assistant - Medical in Sacramento, CA

Active since November 15, 2025
1401 21ST ST STE R, SACRAMENTO, CA 95811(559) 417-7575 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2026, Nov 15, 2025 (2 updates tracked since 2025).

About Kaleidacare Health And Wellness Physician Assistant Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KALEIDACARE HEALTH AND WELLNESS PHYSICIAN ASSISTANT INC. (NPI 1124988753) is a healthcare organization registered as a medical in Sacramento, California and active in the NPI registry since November 2025. The organization lists Kaitlyn Crouch, President, as its authorized official.

NPPES Registry Identity

NPI1124988753
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameKALEIDACARE HEALTH AND WELLNESS PHYSICIAN ASSISTANT INC.
Location Address1401 21ST ST STE RSacramento, CA 95811-5226
Mailing Address1401 21st St Ste RSacramento, CA 95811-5226 · (480) 570-1137
Phone(559) 417-7575
Organization SubpartNo
Authorized OfficialKaitlyn CrouchPresident · (559) 417-7575
Enumeration DateNovember 15, 2025
Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1124988753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1401 21ST ST STE R, Sacramento, CA 95811
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANKANG DME LLC
Durable Medical Equipment & Medical Supplies
1401 21ST ST STE R
SACRAMENTO, CA 95811
Sacramento County (909) 284-1939
DUC LEARNING CENTER
Local Education Agency (LEA)
1401 21ST ST STE R
SACRAMENTO, CA 95811
Sacramento County (760) 262-2064
ASP A PROFESSIONAL CLINICAL COUNSELOR INC
Clinic/Center (Adult Mental Health)
1401 21ST ST STE R
SACRAMENTO, CA 95811
Sacramento County (619) 736-8361
WORLD COMPASSION PROJECT
Counselor (Addiction (Substance Use Disorder))
1401 21ST ST STE R
SACRAMENTO, CA 95811
Sacramento County (916) 741-2021
KSP HEALTH - CALIFORNIA LLC
Pediatrics
1401 21ST ST STE R
SACRAMENTO, CA 95811
Sacramento County (234) 260-6212
RICHELLE RENEE CLAYTON CERTIFIED DOULA
Doula
1401 21ST ST STE R
SACRAMENTO, CA 95811
Sacramento County (707) 408-3727
SHAWN DOUGLAS WOOD LCSW, CYC-P
Social Worker (Clinical)
1401 21ST ST STE R
SACRAMENTO, CA 95811
Sacramento County (737) 290-0897
FRYE DENTAL, INC.
Dentist (General Practice)
1401 21ST ST STE R
SACRAMENTO, CA 95811
Sacramento County (814) 777-7861

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaleidacare Health And Wellness Physician Assistant Inc.'s NPI number?

The NPI number for Kaleidacare Health And Wellness Physician Assistant Inc. is 1124988753. It was assigned to this organization in the NPPES registry on November 15, 2025.

Where is Kaleidacare Health And Wellness Physician Assistant Inc. located?

Kaleidacare Health And Wellness Physician Assistant Inc. is located at 1401 21st St Ste R, Sacramento, CA 95811. The listed phone number is (559) 417-7575.

What is Kaleidacare Health And Wellness Physician Assistant Inc.'s specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Kaleidacare Health And Wellness Physician Assistant Inc. was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.