Provider Demographics
NPI:1932117165
Name:DOMA, ANAMIKA K (DO)
Entity type:Individual
Prefix:DR
First Name:ANAMIKA
Middle Name:K
Last Name:DOMA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2915 CALIFORNIA AVE
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-4501
Mailing Address - Country:US
Mailing Address - Phone:916-899-1584
Mailing Address - Fax:
Practice Address - Street 1:2710 GATEWAY OAKS DR STE 100
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95833-3505
Practice Address - Country:US
Practice Address - Phone:916-925-7010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A11352207P00000X, 207PH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PH0002XAllopathic & Osteopathic PhysiciansEmergency MedicineHospice and Palliative Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine