KIET TRUONG MEDICAL CORPORATION (NPI# 1134411705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134411705 |
| Entity Type | Organization |
| Organization Name | KIET TRUONG MEDICAL CORPORATION |
| Practice Address |
7700 Folsom Blvd Sacramento CA 95826-2608 |
| Mailing Address |
Po Box 980551 West Sacramento CA 95798-0551 |
| Practice Telephone | 5107038360 |
| Mailing Telephone | 5107038360 |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2012-03-27 |
| Authorized Official Name | DR. KIET TUAN VINH TRUONG (PRESIDENT) |
| Authorized Official Telephone | 5107038360 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A101895 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
7700 FOLSOM BLVD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95826-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952350944 | Sutter Valley Hospitals | Psychiatric Hospital | 7700 Folsom Blvd, Sacramento, CA 95826-2608 | 2006-05-08 |
| 1316554405 | Samantha Swanson | Psychologist | 7700 Folsom Blvd, Sacramento, CA 95826-2608 | 2020-09-23 |
| 1710596762 | Roberta Efomon Iyamu | Registered Nurse | 7700 Folsom Blvd, Sacramento, CA 95826-2608 | 2020-07-27 |
| 1033670674 | Mina K Britton | Pharmacy Technician | 7700 Folsom Blvd, Sacramento, CA 95826-2608 | 2019-03-27 |
| 1982113494 | Medicine Physicians Incorporated | Internal Medicine | 7700 Folsom Blvd, Sacramento, CA 95826-2608 | 2017-09-27 |
| 1811432297 | Roserin Jothaprasert | Psychologist | 7700 Folsom Blvd, Sacramento, CA 95826-2608 | 2016-12-21 |
| 1831570977 | Umer Malik Corporation | Internal Medicine | 7700 Folsom Blvd, Sacramento, CA 95826-2608 | 2015-06-15 |
| 1922413798 | Yunji Yoon | Registered Nurse | 7700 Folsom Blvd, Sacramento, CA 95826-2608 | 2014-06-30 |
| 1730505165 | Jason Y Wong | Pharmacist | 7700 Folsom Blvd, Sacramento, CA 95826-2608 | 2014-03-10 |
| 1104192822 | Timothy Walsh Jones | Nurse Practitioner | 7700 Folsom Blvd, Sacramento, CA 95826-2608 | 2012-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688094 | Brooke Oliver | Behavior Technician | Sacramento 8801 Folsom Blvd., Ste. 195, Sacramento, CA 95826 | 2020-01-10 |
| 1679126908 | Albert Einstein Middle School /sacramento City Unified School District | Local Education Agency (LEA) | 9325 Mirandy Drive, Albert Einstein Middle School, Sacramento, CA 95826 | 2019-07-16 |
| 1487146833 | Sarah Collins | Counselor | 4212 Westporter Dr, Sacramento, CA 95826 | 2018-06-01 |
| 1831609221 | Stacey Ann Moote | Behavior Technician | 8795 La Riviera Dr 169, 169, Sacramento, CA 95826 | 2017-10-11 |
| 1033649041 | Joseph Stephen Rapozo | Counselor | 3600 Power Inn Road, Sacramento, CA 95826 | 2017-06-13 |
| 1497201289 | Maureen Belli-bomgardner | Counselor | 3201 Florin Perkins Road, Sacramento, CA 95826 | 2016-08-31 |
| 1316317613 | Tlcs, Inc. | Community/Behavioral Health | 9342 Tech Center Drive, Ste.600, Sacramento, CA 95826 | 2015-09-29 |
| 1942683479 | Tlcs, Inc. | Community/Behavioral Health | 9333 Tech Center Drive, Ste. 100, Sacramento, CA 95826 | 2015-07-01 |
| 1881071157 | Rene Frentzen | Case Manager/Care Coordinator | 9394 Tech Center Drive, Suite 200, Sacramento, CA 95826 | 2015-05-06 |
| 1184026262 | Bojana Pandurevic | Marriage & Family Therapist | 9343 Tech Center Drive, Suite 200, Sacramento, CA 95826 | 2014-09-21 |
| Find all providers in zip 95826 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962530394 | Penelope K Knapp | Psychiatry & Neurology | 1600 9th St, Suite 151, Sacramento, CA 95814-6404 | 2007-02-28 |
| 1649349556 | David Rue | Psychiatry & Neurology | 8001 Folsom Blvd Ste 110, Sacramento, CA 95826-2621 | 2006-11-06 |
| 1275613168 | Don Young | Psychiatry & Neurology | 7171 Bowling Dr Ste 300, Sacramento, CA 95823-2043 | 2006-10-16 |
| 1982714143 | Fatemeh Shirin Ghaheri | Psychiatry & Neurology | 3671 Business Drive, Suite #100, Caare Diagnostic & Treatment Center, Sacramento, CA 95820-2165 | 2006-08-30 |
| 1972516714 | Mark David Edelstein | Psychiatry & Neurology | 1933 9th Ave, Sacramento, CA 95818-4214 | 2006-08-14 |
| 1063433100 | Marigold Nabong-verzosa | Psychiatry & Neurology | 8912 Volunteer Ln, Sacramento, CA 95826-3221 | 2006-07-22 |
| 1841215001 | Harry Carl Wang | Psychiatry & Neurology | 6355 Riverside Blvd, Suite S, Sacramento, CA 95831-1143 | 2006-07-12 |
| 1568445450 | Malia Audrey Mccarthy | Psychiatry & Neurology | 9343 Tech Center Dr, Sacramento, CA 95826-2563 | 2005-11-23 |
| 1134101454 | Robert O. Horst | Psychiatry & Neurology | 3331 Power Inn Rd Ste 140, Sacramento, CA 95826-3889 | 2005-11-14 |
| 1902809460 | Stewart Edward Teal | Psychiatry & Neurology | 811 Grand Ave Ste D, Sacramento, CA 95838-3466 | 2005-05-27 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95826 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.