Individual provider · Type 1 NPI

Roberto Rios, PRACTICUM STUDENT

Student in an Organized Health Care Education/Training Program · Mather, CA

NPI number 1467953216 Active

Practice location

10535 Hospital Way
Mather, CA 95655-4200

Call (916) 620-0248 Map

Mailing address

639 James Dr
Placerville, CA 95667-3471

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1467953216

Roberto Rios, PRACTICUM STUDENT's National Provider Identifier is 1467953216, issued on Feb 27, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mather, CA. The record was last updated on Sep 17, 2026.