Provider Demographics
NPI:1548293004
Name:BIANCANI INC.
Entity type:Organization
Organization Name:BIANCANI INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AL
Authorized Official - Middle Name:W
Authorized Official - Last Name:BIANCANI
Authorized Official - Suffix:
Authorized Official - Credentials:EDD,CSCSD
Authorized Official - Phone:916-419-6054
Mailing Address - Street 1:4551 GATEWAY PARK BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-2447
Mailing Address - Country:US
Mailing Address - Phone:916-419-6054
Mailing Address - Fax:916-419-6066
Practice Address - Street 1:4551 GATEWAY PARK BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-2447
Practice Address - Country:US
Practice Address - Phone:916-419-6054
Practice Address - Fax:916-419-6066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32698261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy