DR. THERESA C MURDOCK-VLAUTIN (NPI# 1215961511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215961511 |
| Entity Type | Individual |
| Full Name | DR. THERESA C MURDOCK-VLAUTIN |
| Credential | M.D. |
| Practice Address |
2516 Stockton Blvd Ticon II Sacramento CA 95817-2208 |
| Practice Telephone | 9167342131 |
| Practice Fax Number | 9164562235 |
| Mailing Telephone | 9167342131 |
| Mailing Fax Number | 9164562235 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | A79156 | CA | Other Service Providers |
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
A79156 | CA | Allopathic & Osteopathic Physicians |
| N | 2080H0002X |
Pediatrics Specialization: Hospice and Palliative Medicine |
A79156 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2516 STOCKTON BLVD TICON II |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-2208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154323715 | Mikla Nina Derlet | Pediatrics | 2516 Stockton Blvd, Department of Pediatrics, Sacramento, CA 95817-2208 | 2005-08-12 |
| 1265051411 | Terence Jordan Ellis | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-04-08 |
| 1124656053 | Alisha Mathalikunnel | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-03-27 |
| 1881221901 | Anna Elizabeth Lepkowski | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-03-26 |
| 1265069595 | Sharon Malwane | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-03-25 |
| 1134756703 | Christina Lynn Callas | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-03-24 |
| 1134755135 | Howard Russell Sanders | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-03-21 |
| 1851927867 | Lidia Park | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-03-21 |
| 1871129882 | Erika Cherk | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-03-21 |
| 1093341091 | Pritha Pavi Multani | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-03-21 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396796140 | Joanne Elizabeth Natale | Pediatrics | 2561 Stockton Blvd, Uc Davis Medical Center, Department O, Sacramento, CA 95817 | 2006-05-15 |
| 1245215557 | James Paul Marcin | Pediatrics | 2954 26th St, Sacramento, CA 95818-3512 | 2005-12-08 |
| 1558353151 | Azad Sheikh | Pediatrics | 5151 F St, Sacramento, CA 95819-3223 | 2005-08-19 |
| 1871585489 | Lehman Ernest Black IIi | Pediatrics | 5151 F St 6 North, Sacramento, CA 95819-3222 | 2005-08-19 |
| 1912999525 | Daniel Augustine Falco | Pediatrics | 5151 F Street 6 North, Sacramento, CA 95819-3222 | 2005-08-19 |
| 1861806036 | Alia Rachel Broman | Pediatrics | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2014-06-16 |
| 1215270871 | Brian David Goudy | Pediatrics | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2013-04-02 |
| 1043579501 | Nhat Minh Pham | Pediatrics | 2825 Capitol Ave, Sacramento, CA 95816 | 2012-05-03 |
| 1316238561 | Michelle Jane Lim | Pediatrics | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2011-04-22 |
| 1982925368 | Blair R. L. Colwell | Pediatrics | 2315 Stockton Blvd, Dept. of Pediatrics, Ucdmc, Sacramento, CA 95817-2201 | 2010-06-19 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
Please comment or provide details below to improve the information on DR. THERESA C MURDOCK-VLAUTIN.
| 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.