MAKHA PHETPHOMMASOUK (NPI# 1346782646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346782646 |
| Entity Type | Individual |
| Full Name | MAKHA PHETPHOMMASOUK |
| Practice Address |
95 Montgomery Dr 126 Santa Rosa CA 95404-6630 |
| Mailing Address |
2196 Wolfberry Way Santa Rosa CA 95404-6188 |
| Practice Telephone | 7078610625 |
| Mailing Telephone | 7075481875 |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2016-11-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 17021 | CA | Other Service Providers |
| Street Address |
95 MONTGOMERY DR 126 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-6630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659374643 | Harry Francis Albers | Dentist | 95 Montgomery Dr, Ste 106, Santa Rosa, CA 95404-6617 | 2005-05-23 |
| 1639665524 | Dolores Edwinson | Marriage & Family Therapist | 95 Montgomery Dr, Santa Rosa, CA 95404-6630 | 2018-07-03 |
| 1184029308 | Chiropractic Neurology Enhancement Center | Chiropractor | 95 Montgomery Dr, Suite 118, Santa Rosa, CA 95404-6630 | 2014-10-30 |
| 1063858470 | Flourish Physical Therapy, Inc | Physical Therapist | 95 Montgomery Dr, Suite 90, Santa Rosa, CA 95404-6630 | 2013-05-13 |
| 1518235340 | Rashidi Medical Corporation | Specialist | 95 Montgomery Dr, Suite 118, Santa Rosa, CA 95404-6617 | 2011-12-07 |
| 1679851448 | Northern California Medical Assoc Inc | Internal Medicine | 95 Montgomery Dr, Ste 120, Santa Rosa, CA 95404-6617 | 2011-07-28 |
| 1003141201 | Laurie B. Stolmaker | Marriage & Family Therapist | 95 Montgomery Dr, Ste 202, Santa Rosa, CA 95404-6629 | 2009-10-06 |
| 1689848236 | Rosemary Brock | Marriage & Family Therapist | 95 Montgomery Dr, Suite 204, Santa Rosa, CA 95404-6630 | 2008-04-15 |
| 1811196322 | Lauren Spieler | Family Medicine | 95 Montgomery Dr, Suite 120, Santa Rosa, CA 95404-6630 | 2007-07-13 |
| 1720289770 | Eun Sub Jang, D.d.s. Inc | Dentist | 95 Montgomery Dr, # 218, Santa Rosa, CA 95404-6630 | 2007-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1598306615 | Bing Wu | Acupuncturist | 2517 Stephanie Ct W, Santa Rosa, CA 95407-6751 | 2019-09-30 |
| 1255890745 | Deena Stapleton | Acupuncturist | 3130 Sonoma Ave, Santa Rosa, CA 95405-6860 | 2019-03-14 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1205333903 | Flourish Integrative Health and Acupuncture Inc. | Acupuncturist | 431 Humboldt St Ste A, Santa Rosa, CA 95404-4288 | 2018-04-09 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1295286441 | Amanda Zhou Lee | Acupuncturist | 966 Sonoma Ave, Santa Rosa, CA 95404-4814 | 2016-10-21 |
| 1407306996 | Gidon Levenbach | Acupuncturist | 1970 Knolls Dr, Santa Rosa, CA 95405-8305 | 2016-10-07 |
| 1811345481 | Lorelle Saxena | Acupuncturist | 98 Montgomery Dr Ste B, Santa Rosa, CA 95404-6615 | 2016-05-24 |
| 1821478637 | Thrive Acupuncture and Wellness Corporation | Acupuncturist | 3412 Mendocino Ave, Santa Rosa, CA 95403-2244 | 2015-06-05 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
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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.