Provider Demographics
NPI:1881999621
Name:DARUGAR, INSIYAH
Entity type:Individual
Prefix:
First Name:INSIYAH
Middle Name:
Last Name:DARUGAR
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 1:7750 EL CAMINO REAL STE F
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-8517
Mailing Address - Country:US
Mailing Address - Phone:888-456-9843
Mailing Address - Fax:
Practice Address - Street 1:192 BLUE RAVINE RD
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-4893
Practice Address - Country:US
Practice Address - Phone:916-983-3373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-25
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22187363LF0000X
OHCOA.12145-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily