DR. KENT LEE SACK


Address: 340 5th Ave South, Pachero, CA 94553
Phone: 9256858878

DR. KENT LEE SACK (NPI# 1194983031) 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) 1194983031
Entity Type Individual
Full Name DR. KENT LEE SACK
Credential MD
Practice Address 340 5th Ave South
Pachero
CA 94553
Practice Telephone 9256858878
Mailing Telephone 9256858878
Enumeration Date 2008-05-28
Last Update Date 2008-05-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine C29667 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 340 5TH AVE SOUTH
City PACHERO
State CA
Zip Code 94553

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043838709 Melissa A Eaton Health Educator 200 Muir Rd., Attn Health Education Department, 3rd Floor, Ensenada Building, Martinez, CA 94553 2020-07-09
1427671965 Kamri Elizabeth Hunt Behavior Technician 1220 Arnold Dr, Martinez, CA 94553 2020-05-19
1134741671 Alex Rodriguez Social Worker 150 Nuir Road, Martinez, CA 94553 2020-05-07
1316405632 Melissa Janine London Psychologist 150 Muir Road (116b), Martinez, CA 94553 2019-03-05
1942791025 Morganne Elizabeth Lasley Juelich Behavioral Analyst 940 Lemon St, Martinez, CA 94553 2018-05-23
1457882243 Ut Nguyen Pharmacist 400 Muir Rd, Martinez, CA 94553 2017-03-23
1346771144 Irene Kuo Pharmacist 400 Muir Road, Martinez, CA 94553 2017-03-23
1407209802 Gabrielle B De Los Reyes Dentist 1124 Arnold Drive #100, Martinez, CA 94553 2016-07-20
1619334745 Randal Du Pharmacist 200 Muir Rd, Hacienda Bldg, Rm H1b18, Martinez, CA 94553 2016-01-20
1417329947 Suja Samuel Registered Nurse 597 Center Avenue, Suite 200-a, Martinez, CA 94553 2015-10-23
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902407711 Prohealth Partners A Medical Group Family Medicine 3700 Katella Ave Ste D, Los Alamitos, CA 90720-6410 2020-11-06
1831790112 Universal Healthcare Services, Inc. Family Medicine 6025 Niles St, Bakersfield, CA 93306-4696 2020-11-04
1568063923 Claude Kathy Marquis Family Medicine 400 S June St, Los Angeles, CA 90020-4812 2020-11-03
1417558842 San Judas Tadeo Medical Group, Inc. Family Medicine 1000 S La Brea Ave Ste 2, Inglewood, CA 90301-3869 2020-11-03
1174123038 Socal Medical Center., Inc. Family Medicine 1350 E Los Angeles Ave Ste 204, Simi Valley, CA 93065-2860 2020-10-29
1205435864 Montana Affinity LLC Family Medicine 820 N Mountain Ave Ste 103, Upland, CA 91786-4163 2020-10-23
1861091126 Silvia Diego Md Inc A Professional Medical Corp Family Medicine 1317 Oakdale Rd Ste 100, Modesto, CA 95355-3362 2020-10-19
1245838879 Lalaine Talagtag Smith Family Medicine 919 Mariner Dr Apt C, Mountain View, CA 94043-3372 2020-10-15
1417554023 Hameed A. Khan, M.d., Inc. Family Medicine 3655 Lomita Blvd Ste 421, Torrance, CA 90505-1934 2020-10-06
1073120085 Garrison Family Medical Group Inc Family Medicine 41210 11th St W Ste C, Palmdale, CA 93551-1447 2020-09-24
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Competitor

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City PACHERO
Zip Code 94553

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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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