MICHAEL THOMAS FABIAN


Address: 2315 Stockton Blvd, Sacramento, CA 95817-2201
Phone: 9167349663

MICHAEL THOMAS FABIAN (NPI# 1003364514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003364514
Entity Type Individual
Full Name MICHAEL THOMAS FABIAN
Credential PMHNP
Practice Address 2315 Stockton Blvd
Sacramento
CA 95817-2201
Mailing Address 9808 Venice Blvd
Ste. 505
Culver City
CA 90232-2732
Practice Telephone 9167349663
Practice Fax Number 9167036547
Mailing Telephone 3109453350
Mailing Fax Number 3109453356
Enumeration Date 2016-09-13
Last Update Date 2020-02-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
95008567 CA Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 2315 STOCKTON BLVD
City SACRAMENTO
State CA
Zip Code 95817-2201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033113758 Allan Douglas Siefkin Internal Medicine 2315 Stockton Blvd, Sacramento, CA 95817-2201 2005-06-09
1467053371 David Lee Wilson Jr. Nurse Practitioner 2315 Stockton Blvd, Sacramento, CA 95817-2201 2020-11-06
1477154722 Myleen Dumagan Romarate Nurse Practitioner 2315 Stockton Blvd, Sacramento, CA 95817-2201 2020-11-03
1487252425 Kristina Marie Hernandez General Practice 2315 Stockton Blvd, Sacramento, CA 95817-2201 2020-10-12
1386251460 David E Canubida Nurse Practitioner 2315 Stockton Blvd, Sacramento, CA 95817-2201 2020-09-23
1467064436 Jomelyn Francisco Esteron Nurse Practitioner 2315 Stockton Blvd, Sacramento, CA 95817-2201 2020-08-20
1750991212 Jasmeet Singh Pharmacist 2315 Stockton Blvd, Sacramento, CA 95817-2201 2020-08-08
1942810858 Allan Russell Martin Neurological Surgery 2315 Stockton Blvd, Sacramento, CA 95817-2201 2020-08-05
1093323941 Cheng Hsuan Chen Registered Nurse 2315 Stockton Blvd, Sacramento, CA 95817-2201 2020-07-16
1225656432 Jessica Stephanie Kim Registered Nurse 2315 Stockton Blvd, Sacramento, CA 95817-2201 2020-07-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346855103 Quintin Kuse Student in an Organized Health Care Education/Training Program 4610 X Street, Sacramento, Sacramento, CA 95817 2020-09-09
1285259283 Uc Davis Health Dietitian, Registered 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 2020-06-15
1942840558 Michael Marchand-gareau Ophthalmology Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 2020-01-11
1467010728 Jiunn Liang Jonathan Yap Student in an Organized Health Care Education/Training Program 4860 Y Str, Ste. 2820, Sacramento, CA 95817 2019-06-03
1083176614 Kevin Lee Student in an Organized Health Care Education/Training Program 2315 Stockton Blvd, Op512, Sacramento, CA 95817 2019-04-02
1508326703 Ritika Johal Student in an Organized Health Care Education/Training Program 4150 V Street, Pssb 1200, Sacramento, CA 95817 2019-03-22
1811468838 Paige Palsgaard Behavior Technician 6730 4th Ave Apt 1731d, Sacramento, CA 95817 2018-12-17
1922503408 Marie Rossi Student in an Organized Health Care Education/Training Program 4150 V Street #1100, Sacramento, CA 95817 2018-03-27
1639673791 Sean Lam Student in an Organized Health Care Education/Training Program 4150 V Street #1200, Sacramento, CA 95817 2018-03-22
1124555388 Tatyana Polyak Surgery 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 2017-05-18
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841571015 Jody Pauwels Nurse Practitioner 3810 Rosin Ct Ste 100, Sacramento, CA 95834-1657 2011-09-01
1801118526 Thao Phuong Tran Nurse Practitioner 100 Howe Ave Ste 220n, Sacramento, CA 95825-8221 2010-02-22
1174770457 Wanda F. Willis Nurse Practitioner 1400 N A St, Sacramento, CA 95811-0612 2008-08-19
1467074328 Francis Okodogbe Nurse Practitioner 2951 Fulton Ave, Sacramento, CA 95821-4909 2020-05-14
1831720069 Rhea Singson Tapang Nurse Practitioner 350 University Ave Ste 101, Sacramento, CA 95825-6516 2020-01-27
1407345606 Erica Dominga Castro Nurse Practitioner 401 S St, Sacramento, CA 95811-6919 2018-05-03
1609391713 Ann Marie Borys Nurse Practitioner 2825 Capitol Ave, Sacramento, CA 95816-6039 2017-08-09
1568841435 Brenda Burnett Nurse Practitioner 4250 Auburn Blvd, Sacramento, CA 95841-4100 2015-05-26
1104192822 Timothy Walsh Jones Nurse Practitioner 7700 Folsom Blvd, Sacramento, CA 95826-2608 2012-03-27
1508919697 Sadie Betito Nurse Practitioner 2951 Fulton Ave, Sacramento, CA 95821-4909 2007-01-19
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Competitor

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City SACRAMENTO
Zip Code 95817

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Dataset Information

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.

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