PEDROSHAMAR LEWIS
NPI 1669061016
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since January 11, 2021
1300 ETHAN WAY, SACRAMENTO, CA 95825(866) 523-4268 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Pedroshamar Lewis NPPES

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

PEDROSHAMAR LEWIS (NPI 1669061016) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1669061016
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePEDROSHAMAR LEWIS
Location Address1300 ETHAN WAYSacramento, CA 95825-2211
Mailing AddressPo Box 399318San Francisco, CA 94139-9318 · (866) 523-4648
Sole ProprietorYes
Enumeration DateJanuary 11, 2021
NPPES CertifiedJanuary 11, 2021
NPI 1669061016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1300 ETHAN WAY, Sacramento, CA 95825

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.

Behavior Technician
1300 ETHAN WAY
SACRAMENTO, CA 95825
Behavior Technician
1300 ETHAN WAY
SACRAMENTO, CA 95825
Behavior Technician
1300 ETHAN WAY
SACRAMENTO, CA 95825
Behavior Technician
1300 ETHAN WAY
SACRAMENTO, CA 95825
Behavior Technician
1300 ETHAN WAY
SACRAMENTO, CA 95825
Behavior Technician
1300 ETHAN WAY
SACRAMENTO, CA 95825
Behavior Technician
1300 ETHAN WAY
SACRAMENTO, CA 95825
Behavior Technician
1300 ETHAN WAY
SACRAMENTO, CA 95825

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 Pedroshamar Lewis's NPI number?

The NPI number for Pedroshamar Lewis is 1669061016. It was assigned to this individual provider in the NPPES registry on January 11, 2021.

Where is Pedroshamar Lewis located?

Pedroshamar Lewis practices at 1300 Ethan Way, Sacramento, CA 95825. The listed phone number is (866) 523-4268.

What is Pedroshamar Lewis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Pedroshamar Lewis was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.