DR. KIERAN JOSEPH FITZPATRICK (NPI# 1679762140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679762140 |
| Entity Type | Individual |
| Full Name | DR. KIERAN JOSEPH FITZPATRICK |
| Credential | M.D. |
| Practice Address |
3155 Clairidge Way Sacramento CA 95821-3921 |
| Practice Telephone | 9164855659 |
| Mailing Telephone | 9164855659 |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2007-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
G13720 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3155 CLAIRIDGE WAY |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95821-3921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100717 | Denise Renee Landgraf | Licensed Vocational Nurse | 3615 Marconi Ave, Sacramento, CA 95821 | 2020-10-05 |
| 1770053258 | Oksana A Shutkova | Behavior Technician | 2823 El Camino Avenue, Appt #19, Sacramento, CA 95821 | 2018-11-28 |
| 1871063420 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 3800 Watt Avenue Suite 151, Sacramento, CA 95821 | 2018-11-27 |
| 1386123438 | Rene William Villanueva | Marriage & Family Therapist | 3650 Auburn Blvd Bldg C-208, Sacramento, CA 95821 | 2018-08-09 |
| 1558853135 | Behavioral Health Solutions of The Pacific | Clinic/Center | 2829 Watt Avenue, Suite 200, Sacramento, CA 95821 | 2018-05-31 |
| 1679064091 | Carrissa Jean Angelique Bishop | Counselor | 3550 Watt Avenue, Suite 140, Sacramento, CA 95821 | 2018-05-21 |
| 1164943049 | Vanessa Selene Tinajero | Social Worker | 3615 Macorni Ave, Sacramento, CA 95821 | 2017-06-30 |
| 1316488562 | Lucas Hansen | Student in an Organized Health Care Education/Training Program | 3007 Clairidge Oak Ct, Sacramento, CA 95821 | 2017-03-20 |
| 1215383054 | Mark Brufladt | Physical Therapy Assistant | 3548 Ardmore Rd, Sacramento, CA 95821 | 2016-05-11 |
| 1053782789 | Marianna Jakucska | Marriage & Family Therapist | 2740 Fulton Ave Ste 100c, Sacramento, CA 95821 | 2015-10-07 |
| Find all providers in zip 95821 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942494844 | Noriko Satake | Pediatrics | 2521 Stockton Blvd Fl 3, Pediatric Specialty Clinic, Glassrock Bldg, Sacramento, CA 95817-2207 | 2007-09-04 |
| 1386276954 | Jaclyn Mary Rice | Pediatrics | 2279 45th St, Sacramento, CA 95817-1514 | 2020-02-11 |
| 1023286002 | Arun Ranjan Panigrahi | Pediatrics | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2008-02-13 |
| 1194858936 | Saunders Charles Hsu | Pediatrics | 5275 F Street, Sacramento, CA 95819 | 2007-03-13 |
| 1700943131 | Northern Calif Childrens Hematology & Oncology Med Grp Inc | Pediatrics | 5030 J Street, Suite 200, Sacramento, CA 95819 | 2007-01-03 |
| 1083701007 | Yung Yim | Pediatrics | 5275 F Street, Sacramento, CA 95819 | 2006-10-10 |
| 1457451270 | Marcio Henrique Malogolowkin | Pediatrics | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2006-09-22 |
| 1356379556 | Yisheng Lee | Pediatrics | 5275 F Street, Sacramento, CA 95819 | 2006-06-28 |
| 1114901303 | Pat C Hardy | Pediatrics | 2516 Stockton Blvd, Department of Pediatrics 3rd Floor, Sacramento, CA 95817-2208 | 2005-12-01 |
| 1780667790 | Douglas Scott Taylor | Pediatrics | 2521 Stockton Blvd, Peds Hem/onc Clinic, 3rd Floor, Sacramento, CA 95817-2207 | 2005-11-23 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95821 |
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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.