OLEXANDR AGAFONOV (NPI# 1528327426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528327426 |
| Entity Type | Individual |
| Full Name | OLEXANDR AGAFONOV |
| Credential | RN |
| Practice Address |
2150 Stockton Blvd Sacramento CA 95817-1337 |
| Practice Telephone | 9168751000 |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
747031 | CA | Nursing Service Providers |
| Street Address |
2150 STOCKTON BLVD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336100171 | Richard A Cross | Psychiatry & Neurology | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2006-03-31 |
| 1427657477 | Brandy Russell | Case Manager/Care Coordinator | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-10-21 |
| 1710591250 | Mary Joy Gigaquit Hyatt | Case Manager/Care Coordinator | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-09-02 |
| 1295345478 | Felicia Ann Facio | Case Manager/Care Coordinator | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-08-03 |
| 1982213864 | Simranjot Kaur Sidhu | Registered Nurse | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-07-28 |
| 1881202141 | Ferdinand Garcia | Registered Nurse | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-07-22 |
| 1548885569 | Sara Crosby | Licensed Practical Nurse | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-06-15 |
| 1700409539 | Cortney S Clark | Case Manager/Care Coordinator | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-05-27 |
| 1063032076 | Jazmin Franco | Case Manager/Care Coordinator | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-04-20 |
| 1447889688 | Wilfredo Ranit Escartin Jr. | Registered Nurse | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063998 | Jonathan Eguia | Registered Nurse | 10161 Croydon Way Ste 2, Sacramento, CA 95827-2107 | 2020-11-03 |
| 1346755980 | Nina Yvette Sherron | Registered Nurse | 3780 Rosin Ct Ste 140, Sacramento, CA 95834-1644 | 2017-12-05 |
| 1225427545 | Jerilyn Hannah | Registered Nurse | 601 North Market Blvd. Ste 1000, Sacramento, CA 95834-4543 | 2015-01-12 |
| 1720476526 | David Patric Burke | Registered Nurse | 10035 Mills Station Rd Spc 143, Sacramento, CA 95827-2220 | 2014-12-31 |
| 1811079841 | Kimberly Renee Humphrey | Registered Nurse | 6511 I Street, Sacramento, CA 95814 | 2006-10-19 |
| 1144332156 | Patsy Fujiko Yasuhara | Registered Nurse | 601 Northmarket Blvd, #100, Sacramento, CA 95834 | 2006-08-31 |
| 1710596762 | Roberta Efomon Iyamu | Registered Nurse | 7700 Folsom Blvd, Sacramento, CA 95826-2608 | 2020-07-27 |
| 1033684600 | Liliana Matveev | Registered Nurse | 650 Howe Ave Ste 400b, Sacramento, CA 95825-4731 | 2018-10-10 |
| 1346752052 | Donna F Ocsona | Registered Nurse | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2017-11-03 |
| 1922413798 | Yunji Yoon | Registered Nurse | 7700 Folsom Blvd, Sacramento, CA 95826-2608 | 2014-06-30 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
Please comment or provide details below to improve the information on OLEXANDR AGAFONOV.
| 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.