Provider Demographics
NPI:1801760574
Name:PESAVENTO, VERONICA V
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:V
Last Name:PESAVENTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 LA LOMA DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-3449
Mailing Address - Country:US
Mailing Address - Phone:916-294-9120
Mailing Address - Fax:
Practice Address - Street 1:2550 LA LOMA DR
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670-3449
Practice Address - Country:US
Practice Address - Phone:916-294-9120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-03
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker