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LT PROACTIVE CARE CLINIC
NPI 1801266499
Clinic/Center - Primary Care in Roseville, CA

Active since September 25, 2015
1435 EAST ROSEVILLE PKWY, ROSEVILLE, CA 95661(916) 472-2057(916) 472-2058 Get Directions Write a Review

NPPES record last updated: September 25, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lt Proactive Care Clinic NPPES

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

LT PROACTIVE CARE CLINIC (NPI 1801266499) is a healthcare organization registered as a primary care in Roseville, California and active in the NPI registry since September 2015. The organization lists Kambiz Farbakhsh, Owner/medical Director, as its authorized official.

NPPES Registry Identity

NPI1801266499
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLT PROACTIVE CARE CLINIC CALIFORNIA, PA
Location Address1435 EAST ROSEVILLE PKWYRoseville, CA 95661
Mailing Address1435 East Roseville PkwyRoseville, CA 95661 · (916) 472-2057 · Fax (916) 472-2058
Phone(916) 472-2057
Fax(916) 472-2058
Organization SubpartNo
Authorized OfficialKambiz FarbakhshOwner/medical Director · (952) 541-7157
Enumeration DateSeptember 25, 2015
✔ NPI 1801266499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
1435 EAST ROSEVILLE PKWY, Roseville, CA 95661
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Other Names 1

Doing Business AsLt Proactive Care Clinic

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 Lt Proactive Care Clinic California, PA's NPI number?

The NPI number for Lt Proactive Care Clinic California, PA is 1801266499. It was assigned to this organization in the NPPES registry on September 25, 2015. The provider is doing business as Lt Proactive Care Clinic.

Where is Lt Proactive Care Clinic California, PA located?

Lt Proactive Care Clinic California, PA is located at 1435 East Roseville Pkwy, Roseville, CA 95661. The listed phone number is (916) 472-2057.

What is Lt Proactive Care Clinic California, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Lt Proactive Care Clinic California, PA was last updated on September 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.