LY KONG PHENG JALAO (NPI# 1952884124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952884124 |
Entity Type | Individual |
Full Name | LY KONG PHENG JALAO |
Practice Address |
2200 Del Paso Blvd Sacramento CA 95815-3102 |
Mailing Address |
6817 E Lane Ave Fresno CA 93727-5814 |
Practice Telephone | 9166421890 |
Mailing Telephone | 2096139089 |
Enumeration Date | 2018-09-12 |
Last Update Date | 2018-09-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
NP95009751 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2200 DEL PASO BLVD |
City | SACRAMENTO |
State | CA |
Zip Code | 95815-3102 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538180245 | Health and Life Organization, Inc. (h.a.l.o.) | Family Medicine | 2200 Del Paso Blvd, Sacramento, CA 95815-3102 | 2006-07-21 |
1083223382 | Sarah Fender | Registered Nurse | 2200 Del Paso Blvd, Sacramento, CA 95815-3102 | 2020-07-23 |
1003457565 | Tatiana Monique Hurtado | Physician Assistant | 2200 Del Paso Blvd, Sacramento, CA 95815-3102 | 2019-10-04 |
1831662477 | Maria Cecilia Sabandal Tan | Registered Nurse | 2200 Del Paso Blvd, Sacramento, CA 95815-3102 | 2019-01-07 |
1043787930 | Hannah Guletz | Physician Assistant | 2200 Del Paso Blvd, Sacramento, CA 95815-3102 | 2018-10-29 |
1366986390 | Tina Benavente Ramos | Nurse Practitioner | 2200 Del Paso Blvd, Sacramento, CA 95815-3102 | 2016-12-09 |
1205205788 | Shannon Patrice Turner | Nurse Practitioner | 2200 Del Paso Blvd, Sacramento, CA 95815-3102 | 2015-09-15 |
1437570686 | Hulda Kim | Nurse Practitioner | 2200 Del Paso Blvd, Sacramento, CA 95815-3102 | 2013-12-13 |
1770898710 | Adrian Ruelas | Physician Assistant | 2200 Del Paso Blvd, Sacramento, CA 95815-3102 | 2010-08-14 |
1992945901 | Junife Palaganas Burguillos | Physician Assistant | 2200 Del Paso Blvd, Sacramento, CA 95815-3102 | 2009-03-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255958187 | Douglas Benjamin Gudeman | Counselor | Alternative House-residential Treatment Center, 1550 Juliesse Avenue, Sacramento, CA 95815 | 2020-06-26 |
1366091894 | Twin Rivers Unified School District | Supports Brokerage | 3051 Fairfield Street, Sacramento, CA 95815 | 2019-09-07 |
1669941159 | Maria Luisa Plasencia | Registered Nurse | Martin Luther King Jr. Technology Academy, 3051 Fairfield St, Sacramento, CA 95815 | 2018-11-14 |
1700386547 | Rww Outpatient Rehab Services, LLC | Clinic/Center | 1610 Arden Way Ste 195, Sacramento, CA 95815 | 2018-02-19 |
1114439262 | Ahc Healthcare of Sacramento Corporation | Skilled Nursing Facility | 1411 Expo Pkwy, Sacramento, CA 95815 | 2017-10-30 |
1588173686 | Rebekah Collette Curtis | Counselor | 1048 Dixieanne Ave. #28, Sacramento, CA 95815 | 2017-09-21 |
1497284145 | Prohealth Home Care Inc | Hospice Care, Community Based | 1375 Exposition Blvd Suite 250b, Sacramento, CA 95815 | 2017-06-07 |
1386982296 | Shailesh M Asaikar Md Inc | Clinic/Center | 1111 Exposition Blvd., Bldg 700, Sacramento, CA 95815 | 2013-01-28 |
1609129618 | Jackey Care's Housing | Clinic/Center | 2447 Boxwood St, Sacramento, CA 95815 | 2012-10-16 |
1144549304 | Rowena Deleon Nolasco | Nurse Practitioner | 577 Las Palmas Ave., Health for All, Sacremento, CA 95815 | 2010-05-26 |
Find all providers in zip 95815 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952912131 | Norman Ivan Kier | Nurse Practitioner | 3834 Edison Ave, Sacramento, CA 95821-2728 | 2020-08-12 |
1477107985 | Ashirifia Larsey | Nurse Practitioner | 220 Sugnet Way, Sacramento, CA 95838-5015 | 2019-08-01 |
1174084644 | Sapandip Kaur Walia | Nurse Practitioner | 2825 Capitol Ave # 6, Sacramento, CA 95816-6039 | 2019-03-27 |
1992215263 | Lorraine Taylor | Nurse Practitioner | 6000 Bruceville Rd, Sacramento, CA 95823-9582 | 2017-10-02 |
1013340751 | Oasis Health and Wellness Center, Inc. | Nurse Practitioner | 7275 E. Southgate Dr Suit 408, Sacramento, CA 95823-2629 | 2013-08-16 |
1093980393 | Christine C Hansen | Nurse Practitioner | 2610 51st St, Sacramento, CA 95817-1618 | 2008-04-28 |
1033308176 | Margaret Huffines | Nurse Practitioner | 2990 Mendel Way, Sacramento, CA 95833-2824 | 2007-10-15 |
1932134111 | Christi Diane Delemos | Nurse Practitioner | 1500 Exp Parkway, Sacramento, CA 95815 | 2006-07-12 |
1679055073 | Kathleen C Cuyugan | Nurse Practitioner | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2018-08-31 |
1083118970 | Pratikshya Acharya | Nurse Practitioner | 3000 Q St Fl 2, Sacramento, CA 95816-7058 | 2018-03-23 |
Find all providers in SACRAMENTO |
City | SACRAMENTO |
Zip Code | 95815 |
Please comment or provide details below to improve the information on LY KONG PHENG JALAO.
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.