MR. PAO L. MOUA (NPI# 1104126077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104126077 |
| Entity Type | Individual |
| Full Name | MR. PAO L. MOUA |
| Practice Address |
500 Jefferson Blvd Bldg. B, Suite 150 West Sacramento CA 95605-2350 |
| Mailing Address |
12310 Montauk Way Rancho Cordova CA 95742-7724 |
| Practice Telephone | 9163768591 |
| Practice Fax Number | 9163768595 |
| Mailing Telephone | 9168335471 |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033678768 | Pao Huwg Moua | Behavioral Analyst | 1616 N Harrison St Ste A, Stockton, CA 95204-5642 | 2019-03-12 |
| Street Address |
500 JEFFERSON BLVD BLDG. B, SUITE 150 |
| City | WEST SACRAMENTO |
| State | CA |
| Zip Code | 95605-2350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821632696 | Janette Rodriguez | Student in an Organized Health Care Education/Training Program | 500 Jefferson Blvd, West Sacramento, CA 95605-2350 | 2019-11-04 |
| 1528611860 | Bithiah Keturah Delgado | Counselor | 500 Jefferson Blvd, West Sacramento, CA 95605-2350 | 2019-07-16 |
| 1619446796 | Juan C Gomez | Social Worker | 500 Jefferson Blvd, West Sacramento, CA 95605-2350 | 2018-11-18 |
| 1710454459 | Jennifer Longan | Student in an Organized Health Care Education/Training Program | 500 Jefferson Blvd, West Sacramento, CA 95605-2350 | 2018-10-31 |
| 1306320841 | Tuc Quyen Chappell | Nurse Practitioner | 500 Jefferson Blvd, West Sacramento, CA 95605-2350 | 2018-09-20 |
| 1295196996 | Jacqueline Davis | Counselor | 500 Jefferson Blvd, Suite B, West Sacramento, CA 95605-2350 | 2016-03-09 |
| 1699159350 | Neal Liggins | Counselor | 500 Jefferson Blvd, Bldg B, West Sacramento, CA 95605-2350 | 2015-07-13 |
| 1275930364 | Sontine Kalba | Case Manager/Care Coordinator | 500 Jefferson Blvd, Suite B195, West Sacramento, CA 95605-2350 | 2014-12-04 |
| 1760882526 | Nicole Goodman | Social Worker | 500 Jefferson Blvd, West Sacramento, CA 95605 | 2014-08-29 |
| 1861808883 | Venus De Coy | Technician, Pathology | 500 Jefferson Blvd, West Sacramento, CA 95605-2350 | 2014-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551502 | Bridgecare Solutions Are LLC | Nurse Practitioner | 612 Watercolor Lane, West Sacramento, CA 95605 | 2020-06-02 |
| 1104316413 | West Sacramento Nursing and Rehabilitation Center | Nursing Facility/Intermediate Care Facility | 751 Elm Street, West Sacramento, CA 95605 | 2018-05-11 |
| 1760735336 | Kaplan Alexander Dental Corporation | Dentist | 759 Ikea Ct, 110, West Sacramento, CA 95605 | 2012-10-19 |
| 1558616912 | David Anthony Cardenas | Counselor | 540 Kegle Dr, Sacrament, CA 95605 | 2012-07-20 |
| 1124304811 | Marc Aaron Scharbrough | Social Worker | 500 Jefferson Blvd #b150, West Sacramento, CA 95605 | 2011-10-26 |
| 1750663308 | Alexandra Gabrielle Garton | Marriage & Family Therapist | 500b Jefferson Blvd., Suite 195, West Sacramento, CA 95605 | 2011-09-09 |
| 1891093902 | Tegwin Millard | Counselor | 500b Jefferson Blvd Ste 195, West Sacramento, CA 95605 | 2011-03-14 |
| 1962639005 | Beverley Elizabeth Calderone | Psychologist | 500-b Jefferson Boulevard, Suite 150, West Sacramento, CA 95605 | 2009-06-16 |
| 1164671616 | Lien Pham Xi | Marriage & Family Therapist | 500 Jefferson Blvd Ste B, West Sacramento, CA 95605 | 2008-09-09 |
| 1497968960 | Holly Lenore Smith | Registered Nurse | Yolo County Health Dept., 500 B Jefferson Blvd., Suite 170, West Sacramento, CA 95605 | 2007-05-08 |
| Find all providers in zip 95605 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245722321 | Michelle Pineda | Counselor | 3120 Freeboard Dr Ste 120, West Sacramento, CA 95691-5039 | 2018-06-04 |
| 1033606793 | James Patrick Vosburg | Counselor | 2945 Ramco St Ste 130, West Sacramento, CA 95691-5997 | 2018-04-18 |
| 1023511466 | Monique E Contreras | Counselor | 3050 Beacon Blvd Ste 200, West Sacramento, CA 95691-3467 | 2018-03-12 |
| 1831611763 | Paul Canova Boice | Counselor | 3120 Freeboard Drive, Suite 102, West Sacramento, CA 95619 | 2017-07-12 |
| 1821510843 | Tenaya Rochelle Robinson | Counselor | 3120 Freeboard Dr # 102, West Sacramento, CA 95691-5039 | 2017-07-11 |
| 1396944021 | Jill Kay Bethune | Counselor | 317 6th St, West Sacramento, CA 95605-2734 | 2007-07-12 |
| 1972624690 | Patricia Ann Current | Counselor | 712 Julian Drive, West Sacramento, CA 95605 | 2007-04-02 |
| 1386778181 | William James Ingram | Counselor | 500-b Jefferson Blvd, West Sacramento, CA 95605 | 2007-03-15 |
| 1841369378 | Kristen Caroline Chrisenbery | Counselor | 2101 Stone Blvd Ste 115, West Sacramento, CA 95691-4056 | 2006-11-07 |
| 1699375634 | Francisco Corral | Counselor | 3050 Beacon Blvd Ste 103, West Sacramento, CA 95691-3467 | 2020-10-29 |
| Find all providers in WEST SACRAMENTO | ||||
| City | WEST SACRAMENTO |
| Zip Code | 95605 |
Please comment or provide details below to improve the information on MR. PAO L. MOUA.
| 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.