Provider Demographics
NPI:1811398720
Name:ALL INCLUSIVE MEDICAL SERVICES, INC
Entity Type:Organization
Organization Name:ALL INCLUSIVE MEDICAL SERVICES, INC
Other - Org Name:AIMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALOK
Authorized Official - Middle Name:
Authorized Official - Last Name:KRISHNA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-414-9055
Mailing Address - Street 1:1710 PRAIRIE CITY RD STE 125
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-4042
Mailing Address - Country:US
Mailing Address - Phone:916-414-9055
Mailing Address - Fax:916-414-9054
Practice Address - Street 1:1710 PRAIRIE CITY RD STE 125
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-4042
Practice Address - Country:US
Practice Address - Phone:916-414-9055
Practice Address - Fax:916-414-9054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-10
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC55199207Q00000X
CAA102853207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGM111AMedicare PIN