RANDY JAY FERGUSON (NPI# 1295336170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295336170 |
| Entity Type | Individual |
| Full Name | RANDY JAY FERGUSON |
| Practice Address |
3800 Watt Ave Ste 120 Sacramento CA 95821-2622 |
| Practice Telephone | 9164840321 |
| Mailing Telephone | 9164840321 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 70502 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3800 WATT AVE STE 120 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95821-2622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346755246 | Chong Her | Chiropractor | 3800 Watt Ave Ste 120, Sacramento, CA 95821-2622 | 2017-12-13 |
| 1255975991 | Nicolas H Muhn | Chiropractor | 3800 Watt Ave Ste 120, Sacramento, CA 95821-2622 | 2019-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100717 | Denise Renee Landgraf | Licensed Vocational Nurse | 3615 Marconi Ave, Sacramento, CA 95821 | 2020-10-05 |
| 1770053258 | Oksana A Shutkova | Behavior Technician | 2823 El Camino Avenue, Appt #19, Sacramento, CA 95821 | 2018-11-28 |
| 1871063420 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 3800 Watt Avenue Suite 151, Sacramento, CA 95821 | 2018-11-27 |
| 1386123438 | Rene William Villanueva | Marriage & Family Therapist | 3650 Auburn Blvd Bldg C-208, Sacramento, CA 95821 | 2018-08-09 |
| 1558853135 | Behavioral Health Solutions of The Pacific | Clinic/Center | 2829 Watt Avenue, Suite 200, Sacramento, CA 95821 | 2018-05-31 |
| 1679064091 | Carrissa Jean Angelique Bishop | Counselor | 3550 Watt Avenue, Suite 140, Sacramento, CA 95821 | 2018-05-21 |
| 1164943049 | Vanessa Selene Tinajero | Social Worker | 3615 Macorni Ave, Sacramento, CA 95821 | 2017-06-30 |
| 1316488562 | Lucas Hansen | Student in an Organized Health Care Education/Training Program | 3007 Clairidge Oak Ct, Sacramento, CA 95821 | 2017-03-20 |
| 1215383054 | Mark Brufladt | Physical Therapy Assistant | 3548 Ardmore Rd, Sacramento, CA 95821 | 2016-05-11 |
| 1053782789 | Marianna Jakucska | Marriage & Family Therapist | 2740 Fulton Ave Ste 100c, Sacramento, CA 95821 | 2015-10-07 |
| Find all providers in zip 95821 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649886789 | Latosha Trenet Rivera | Massage Therapist | 3471 Wildwind Ct, Sacramento, CA 95827-3064 | 2020-09-22 |
| 1538774823 | Amber Marie Murray | Massage Therapist | 3400 Cottage Way Ste F2, Sacramento, CA 95825-1474 | 2020-09-13 |
| 1376158089 | Desiree Williams | Massage Therapist | 2341 Northrop Ave Apt 210d, Sacramento, CA 95825-7215 | 2020-09-09 |
| 1043824121 | Clara Matthews | Massage Therapist | 8448 Amrita Ct, Sacramento, CA 95828-6620 | 2020-09-04 |
| 1649884453 | Xavier Couvson | Massage Therapist | 2051 Arena Blvd Ste 100, Sacramento, CA 95834-2311 | 2020-08-31 |
| 1932713732 | Danielle Dunn | Massage Therapist | 2920 Del Paso Blvd Apt 10, Sacramento, CA 95815-1439 | 2020-08-31 |
| 1710591532 | Natasha Henderson | Massage Therapist | 7371 Power Inn Rd Apt 213, Sacramento, CA 95828-3545 | 2020-08-31 |
| 1174081236 | Paul Brown | Massage Therapist | 717 K St Ste 306, Sacramento, CA 95814-3477 | 2019-03-07 |
| 1497229652 | Tiffany Bedolla | Massage Therapist | 717 K St Ste 514, Sacramento, CA 95814-3408 | 2019-01-21 |
| 1922574904 | Sam Dyer Stewart | Massage Therapist | 2784 Freeport Blvd, Sacramento, CA 95818-3053 | 2018-10-17 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95821 |
Please comment or provide details below to improve the information on RANDY JAY FERGUSON.
| 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.