SARAH PRAVONG (NPI# 1942810585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942810585 |
| Entity Type | Individual |
| Full Name | SARAH PRAVONG |
| Practice Address |
7415 Henrietta Dr Sacramento CA 95822-5142 |
| Practice Telephone | 9165207399 |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
7415 HENRIETTA DR |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95822-5142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720269970 | Camea Lorin Mccain | Licensed Vocational Nurse | 7415 Henrietta Dr, Sacramento, CA 95822-5142 | 2007-11-15 |
| 1275131492 | Jennifer Christine O'ryan | Student in an Organized Health Care Education/Training Program | 7415 Henrietta Dr, Sacramento, CA 95822-5142 | 2020-10-09 |
| 1376158758 | Madison Raine Alford | Case Manager/Care Coordinator | 7415 Henrietta Dr, Sacramento, CA 95822-5142 | 2020-09-11 |
| 1558981282 | Gema Gutierrez | Licensed Vocational Nurse | 7415 Henrietta Dr, Sacramento, CA 95822-5142 | 2020-04-22 |
| 1396378345 | Kengcheng Yang | Case Manager/Care Coordinator | 7415 Henrietta Dr, Sacramento, CA 95822-5142 | 2020-02-18 |
| 1669005112 | Harjap Singh | Case Manager/Care Coordinator | 7415 Henrietta Dr, Sacramento, CA 95822-5142 | 2020-02-12 |
| 1376175778 | Drajwanee Dickerson | Case Manager/Care Coordinator | 7415 Henrietta Dr, Sacramento, CA 95822-5142 | 2020-02-04 |
| 1467098905 | Cha'd A Jackson | Case Manager/Care Coordinator | 7415 Henrietta Dr, Sacramento, CA 95822-5142 | 2019-11-19 |
| 1043854243 | Michael Delgado | Case Manager/Care Coordinator | 7415 Henrietta Dr, Sacramento, CA 95822-5142 | 2019-10-30 |
| 1578105698 | Larvin Blake Mcclain | Case Manager/Care Coordinator | 7415 Henrietta Dr, Sacramento, CA 95822-5142 | 2019-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225667181 | Raley's | Pharmacy | 4690 Freeport Blvd, Sacramento, CA 95822 | 2020-04-03 |
| 1942853288 | Sam Brannan Middle School / Sacramento City Unified School District | Local Education Agency (LEA) | 5301 Elmer Way, Sam Brannan Middle School, Sacramento, CA 95822 | 2019-07-16 |
| 1629596440 | Christina Marie Gonzalez | Counselor | 6116 Ventura St, Sacramento, CA 95822 | 2017-08-31 |
| 1447577598 | A Touch of Faith Resource Center | Counselor | 2251 Florin Road, Suite 129, Sacramento, CA 95822 | 2010-04-29 |
| 1013195411 | Carole G Cannon | Physical Therapist | 1090 Rio Lane, Sacramento, CA 95822 | 2008-02-07 |
| 1841310919 | Andrew S Kassels | Dentist | 6030 South Land Park Drive, Sacramento, CA 95822 | 2007-03-30 |
| 1386701852 | Correy Po-hong Lai | Acupuncturist | 2001 Oregon Dr., Sacramento, CA 95822 | 2007-01-03 |
| 1407911472 | Yolanda D Gonzales Dmd Inc | Dentist | 2378 Fruitridge Rd, Sacramento, CA 95822 | 2006-12-27 |
| 1912072935 | Brian Wayne Dong | Dentist | 5665 Freeport Bl Suite 3, Sacramento, CA 95822 | 2006-11-22 |
| 1659442382 | Adriane Rodica Scortia | Dentist | 4611 Freeport, Bl #5, Sacramento, CA 95822 | 2006-11-13 |
| Find all providers in zip 95822 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709458 | Andre Howard | Case Manager/Care Coordinator | 2281 Hurley Way Apt 10, Sacramento, CA 95825-2337 | 2020-10-26 |
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1891392676 | Natalie V Galaviz | Case Manager/Care Coordinator | 3815 Marconi Ave # 52, Sacramento, CA 95821-3867 | 2020-10-05 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1093332579 | David Lynch | Case Manager/Care Coordinator | 700 H St Ste 270, Sacramento, CA 95814-1289 | 2020-06-30 |
| 1770126906 | Chrysanthia D Leggett | Case Manager/Care Coordinator | 7415 Henrietta Dr Unit A, Sacramento, CA 95822-5142 | 2019-10-21 |
| 1558904870 | Larry Carter | Case Manager/Care Coordinator | 3700 Watt Ave Apt 13, Sacramento, CA 95821-2661 | 2019-10-18 |
| 1255982443 | Valerie Bishop | Case Manager/Care Coordinator | 5691 Boyton Way, Sacramento, CA 95823-3811 | 2019-09-27 |
| 1720637689 | Ayana Nuno | Case Manager/Care Coordinator | 1616 El Monte Ave, Sacramento, CA 95815-2903 | 2019-09-04 |
| 1154980597 | Nosazena Leo Uyigue | Case Manager/Care Coordinator | Sacramento County Mental Health Treatment Center, 2150 Stockton Boulevard, Sacramento, CA 95817-1337 | 2019-06-10 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95822 |
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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.