CHARLES VINCENT PANADERO (NPI# 1902881808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902881808 |
| Entity Type | Individual |
| Full Name | CHARLES VINCENT PANADERO |
| Credential | M.D. |
| Practice Address |
4250 Auburn Blvd Sacramento CA 95841-4100 |
| Mailing Address |
Po Box 1956 Rocklin CA 95677-7956 |
| Practice Telephone | 9164893336 |
| Mailing Telephone | 9167614668 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2007-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A77796 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A777960 | 05 |
| Street Address |
4250 AUBURN BLVD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95841-4100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962484741 | Enrique Luis Maria Ochoa | Psychiatry & Neurology | 4250 Auburn Blvd, Sacramento, CA 95841-4100 | 2005-11-16 |
| 1063028322 | Enli Angelica Sandoval | Marriage & Family Therapist | 4250 Auburn Blvd, Sacramento, CA 95841-4164 | 2020-09-21 |
| 1831704485 | Crystal A Gee | Social Worker | 4250 Auburn Blvd, Sacramento, CA 95841-4100 | 2020-09-10 |
| 1093320657 | Jenna Darlington | Counselor | 4250 Auburn Blvd, Sacramento, CA 95841-4100 | 2020-09-10 |
| 1205464690 | Sarah Ellen Davis | Social Worker | 4250 Auburn Blvd, Sacramento, CA 95841-4100 | 2020-03-31 |
| 1184250888 | Violeta Jomehri | Nurse Practitioner | 4250 Auburn Blvd, Sacramento, CA 95841-4164 | 2020-03-13 |
| 1124653761 | Dina Borichevskiy | Registered Nurse | 4250 Auburn Blvd, Sacramento, CA 95841-4164 | 2020-03-04 |
| 1104462001 | Kagau Lor | Behavior Technician | 4250 Auburn Blvd, Sacramento, CA 95841-4100 | 2019-11-26 |
| 1104460039 | Andrew Siegel | Social Worker | 4250 Auburn Blvd, Sacramento, CA 95841-4164 | 2019-11-04 |
| 1386293918 | Tonja Hoskinson | Behavior Technician | 4250 Auburn Blvd, Sacramento, CA 95841-4100 | 2019-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942794359 | Paris D Oceguera Torres | Behavior Technician | 5000 Auburn Blvd, Sacramento Maxim Healthcare, CA 95841 | 2018-06-19 |
| 1386196228 | Always Connected Incorporated | Community/Behavioral Health | 4738 Auburn Boulevard Suite 100, Sacramento, CA 95841 | 2016-10-26 |
| 1538619077 | Hashim Alhaidari | Pharmacist | 5002 Greenberry Drive, Sacramento, CA 95841 | 2016-10-08 |
| 1346588480 | Ucp of Sacramento and Northern California | Community/Behavioral Health | 4350 Auburn Blvd., Sacramento, CA 95841 | 2013-01-24 |
| 1962778639 | Mandi Elizabeth Mcbride | Counselor | 4441 Auburn Blvd, Suite E, Sacramento, CA 95841 | 2012-03-28 |
| 1144595976 | Jesse John Echavarria | Counselor | 4441auburn Bvld, Suite E, Sacramento, CA 95841 | 2012-03-13 |
| 1780994269 | Jessica Hernandez | Behavioral Analyst | 4441 Auburn Blvd, Suite E, Sacramento, CA 95841 | 2010-10-18 |
| 1386958262 | Altha Marie Gray-wilson | Counselor | 4141 Auburn Blvd, Sacramento, CA 95841 | 2010-08-03 |
| 1780900795 | Cynthia Jeanette Keeth | Counselor | 4441 Auburn Blvd., Suite E, Sacramento, CA 95841 | 2010-04-15 |
| 1104073121 | Ellen Mark | Dentist | 6399 Garfield Ave, Suite 150, Sacramento, CA 95841 | 2008-08-20 |
| Find all providers in zip 95841 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962530394 | Penelope K Knapp | Psychiatry & Neurology | 1600 9th St, Suite 151, Sacramento, CA 95814-6404 | 2007-02-28 |
| 1649349556 | David Rue | Psychiatry & Neurology | 8001 Folsom Blvd Ste 110, Sacramento, CA 95826-2621 | 2006-11-06 |
| 1275613168 | Don Young | Psychiatry & Neurology | 7171 Bowling Dr Ste 300, Sacramento, CA 95823-2043 | 2006-10-16 |
| 1982714143 | Fatemeh Shirin Ghaheri | Psychiatry & Neurology | 3671 Business Drive, Suite #100, Caare Diagnostic & Treatment Center, Sacramento, CA 95820-2165 | 2006-08-30 |
| 1972516714 | Mark David Edelstein | Psychiatry & Neurology | 1933 9th Ave, Sacramento, CA 95818-4214 | 2006-08-14 |
| 1063433100 | Marigold Nabong-verzosa | Psychiatry & Neurology | 8912 Volunteer Ln, Sacramento, CA 95826-3221 | 2006-07-22 |
| 1841215001 | Harry Carl Wang | Psychiatry & Neurology | 6355 Riverside Blvd, Suite S, Sacramento, CA 95831-1143 | 2006-07-12 |
| 1568445450 | Malia Audrey Mccarthy | Psychiatry & Neurology | 9343 Tech Center Dr, Sacramento, CA 95826-2563 | 2005-11-23 |
| 1134101454 | Robert O. Horst | Psychiatry & Neurology | 3331 Power Inn Rd Ste 140, Sacramento, CA 95826-3889 | 2005-11-14 |
| 1902809460 | Stewart Edward Teal | Psychiatry & Neurology | 811 Grand Ave Ste D, Sacramento, CA 95838-3466 | 2005-05-27 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95841 |
Please comment or provide details below to improve the information on CHARLES VINCENT PANADERO.
| 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.