JODALIN SIMANGAN MAMAUAG (NPI# 1164573671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164573671 |
| Entity Type | Individual |
| Full Name | JODALIN SIMANGAN MAMAUAG |
| Practice Address |
2501 Northview Dr Sacramento CA 95833-2129 |
| Practice Telephone | 9163592174 |
| Mailing Telephone | 9163592174 |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | CA | Other Service Providers |
| Street Address |
2501 NORTHVIEW DR |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95833-2129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952931487 | Anisa Sims | Counselor | 2688 Stonecreek Dr Apt 137, Sacramento, CA 95833 | 2020-01-23 |
| 1508385949 | Victoria Gabriella Lobatos | Behavioral Analyst | 2915 Azevedo Dr, Sacramento, CA 95833 | 2017-09-18 |
| 1083131908 | Jody Ellen Sytten | Registered Nurse | 2890 Gateway Oaks, Suite 250, Sacramento, CA 95833 | 2017-08-23 |
| 1588181291 | Nora Catherine Myer | Registered Nurse | 2890 Gateway Oaks Suite 250, Sacramento, CA 95833 | 2017-08-23 |
| 1487177689 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1630 West El Camino Ave, Sacramento, CA 95833 | 2017-07-19 |
| 1013430537 | Daniela Lupe | Social Worker | 2800 Amerian Ave, Sacramento, CA 95833 | 2017-07-18 |
| 1194170563 | Tia Lorraine Johnson | Behavioral Analyst | 1416 Brewerton Dr #306, Sacramento, CA 95833 | 2016-05-04 |
| 1053751081 | Kelley Davenport | Behavioral Analyst | 2150 River Plaza Dr Ste 410, Sacramento, CA 95833 | 2013-07-05 |
| 1194075671 | Jennifer Lynn Reddy | Pharmacist | 2200 River Plaza Drive, Sacramento, CA 95833 | 2012-09-12 |
| 1851693295 | Ponce De Leon Dental | Dentist | 1589 W. El Camino Ave., Ste. 108, Sacramento, CA 95833 | 2010-11-17 |
| Find all providers in zip 95833 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437798188 | Kayla Simone Gooden | Driver | 7418 Braeridge Way, Sacramento, CA 95831-4004 | 2019-12-28 |
| 1356909899 | Akaza LLC | Driver | 1104 Corporate Way Ste 216, Sacramento, CA 95831-3875 | 2019-05-30 |
| 1174086300 | Suhmer N Fryer | Driver | 4110 Beechcraft Way, Sacramento, CA 95834-4000 | 2019-04-14 |
| 1134681943 | Manjinder Singh Mann | Driver | 7609 Wilbur Way, Sacramento, CA 95828-4927 | 2019-04-01 |
| 1811456338 | Dawnyielle Muzyamba | Driver | 4321 12th Ave, Sacramento, CA 95817-3713 | 2019-03-14 |
| 1760959282 | Sara Langston | Driver | 1401 Keeney Way, Sacramento, CA 95864-2632 | 2018-11-02 |
| 1265927495 | Atiya I Hempstead | Driver | 7734 La Mancha Way, Sacramento, CA 95823-3862 | 2018-06-29 |
| 1689167611 | Arifah Fatine Allah | Driver | 3301 N Park Dr Unit 2013, Sacramento, CA 95835-1883 | 2018-06-13 |
| 1194214312 | Mustafa H Aliakbr | Driver | 3 Back Bay Ct, Sacramento, CA 95823-7553 | 2018-05-02 |
| 1821592940 | Irina P Adamovich | Driver | 3900 Annadale Ln Apt 40, Sacramento, CA 95821-2030 | 2018-03-22 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95833 |
Please comment or provide details below to improve the information on JODALIN SIMANGAN MAMAUAG.
| 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.