CARL D ENGELKE (NPI# 1659621373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659621373 |
| Entity Type | Individual |
| Full Name | CARL D ENGELKE |
| Credential | IDMT |
| Practice Address |
7484 Holworthy Way Apt 139 Sacramento CA 95842 |
| Practice Telephone | 6107870429 |
| Mailing Telephone | 6107870429 |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| Street Address |
7484 HOLWORTHY WAY APT 139 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306318837 | Eve T Mallillin | Behavioral Analyst | 11670 White Rock Road, Suite 150, Rancho Cordova, CA 95842 | 2018-12-21 |
| 1760928824 | Tami Bumpass | Behavior Technician | 7806 Uplands Way Suite A, Citrus Hts, CA 95842 | 2017-01-13 |
| 1396033395 | Erik Kristopher Smith | Physician Assistant | 5255 Elkhorn Blvd Ste C, Sacramento, CA 95842 | 2011-07-12 |
| 1356437008 | Christopher Phen | Dentist | 5315 Elkhorn Blvd, Sacramento, CA 95842 | 2006-10-04 |
| 1861906455 | Palatnik Smith Health Care Corp | Clinic/Center | 5255 Elkhorn Blvd Ste C, Sacramento, CA 95842 | 2017-11-20 |
| 1427477975 | Zachariah Edwards | Counselor | 7425 Verdugo Way, Sacramento, CA 95842-1504 | 2014-04-14 |
| 1336454628 | Lela Feliz Evelyn Feliz | Counselor | 5036 Earlcort Cir, Sacramento, CA 95842-1737 | 2010-08-11 |
| 1447769211 | Milton Danilo Guerrero Leon | Behavior Technician | 5215 Karm Way, Sacramento, CA 95842-1951 | 2017-09-25 |
| 1104472059 | Alicia Cary | Occupational Therapy Assistant | 5520 Lancelot Dr, Sacramento, CA 95842-2100 | 2019-08-15 |
| 1487282109 | Laura Y Lee, Dpm Inc | Podiatrist | 5525 Forestwood Dr, Sacramento, CA 95842-2128 | 2020-03-29 |
| Find all providers in zip 95842 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801153838 | Quin Loren Mcpherron | Military Health Care Provider | 3 Hyannis Port Place, Sacramento, CA 95835 | 2012-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366051294 | Ryan Allan Arriaga | Military Health Care Provider | 1000 Allison Dr, Vacaville, CA 95687-4975 | 2020-07-27 |
| 1851917165 | Katelyn Renee Watson | Military Health Care Provider | 101 Bodin Drive, Bldg 777, Fairfield, CA 95688 | 2020-06-23 |
| 1558911024 | Christopher Andersen | Military Health Care Provider | 1000 Allison Dr Apt 183, Vacaville, CA 95687-4988 | 2019-09-17 |
| 1558873968 | Giovanni Oddo | Military Health Care Provider | 25051 Mawson Dr, Laguna Hills, CA 92653-5263 | 2017-10-26 |
| 1730606658 | Jeffrey Rodriguez | Military Health Care Provider | 975 Carl Cir, Edwards, CA 93523-1906 | 2017-08-23 |
| 1154847960 | James Edward Schafer | Military Health Care Provider | 883 Covey Ct, Hollister, CA 95023-8906 | 2017-08-15 |
| 1437551702 | Jonathan Saplan | Military Health Care Provider | 1411 Pelican Way, Suisun City, CA 94585-2330 | 2014-09-18 |
| 1093124398 | Benjamin Ryan Foy | Military Health Care Provider | 2784 Hornet Way, San Diego, CA 92106-6421 | 2014-08-12 |
| 1598182214 | Matthew Wheaton Burns | Military Health Care Provider | 105 Colorado St, Travis Afb, CA 94535-1255 | 2014-03-19 |
| 1508282658 | April Summers | Military Health Care Provider | 2205 Farrell Ave Apt 204, Redondo Beach, CA 90278-1846 | 2014-03-13 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95842 |
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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.