NICOLE HISAKA


Address: 3651 Business Dr, Sacramento, CA 95820
Phone: 9259633008

NICOLE HISAKA (NPI# 1356716039) 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) 1356716039
Entity Type Individual
Full Name NICOLE HISAKA
Credential M.A.
Practice Address 3651 Business Dr
Sacramento
CA 95820
Mailing Address 3651 Business Dr
Sacramento
CA 95820-2175
Practice Telephone 9259633008
Enumeration Date 2015-12-07
Last Update Date 2018-07-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
Behavioral Health & Social Service Providers
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
12016 Wilshire Blvd Ste 4, Los Angeles, CA 900251205 3104421500

Office Location

Street Address 3651 BUSINESS DR
City SACRAMENTO
State CA
Zip Code 95820

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740896141 Kristen Lau Pharmacist 3651 Business Dr, Sacramento, CA 95820-2175 2020-09-21
1164084968 Michele Lim Yu Pharmacist 3651 Business Dr, Sacramento, CA 95820-2175 2019-07-01
1679052229 Khanh Dam Nguyen Pharmacist 3651 Business Dr, Sacramento, CA 95820 2018-08-13
1538655261 Cherelle Young Student in an Organized Health Care Education/Training Program 3651 Business Dr, Sacramento, CA 95820-2175 2018-07-05
1538655287 Roxana Lopez Student in an Organized Health Care Education/Training Program 3651 Business Dr, Sacramento, CA 95820-2175 2018-07-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629676820 Laraine K Koen Student in an Organized Health Care Education/Training Program 123 Brookshire Lane, Sacramento, CA 95820 2020-10-12
1730737727 Vincent Tang Student in an Organized Health Care Education/Training Program 3230 Sher Court, Sacramento, CA 95820 2019-09-03
1871159897 Lauren Smith Student in an Organized Health Care Education/Training Program Department of Pediatrics Uc Davis Children's Hospital, 3671 Business Dr. Suite #110, Sacramento, CA 95820 2019-05-15
1053899336 Melissa Anne Jeffery Community Health Worker 4600 Broadway Suite 1300, Sacramento, CA 95820 2018-07-30
1841785284 Chelsea Kirstin Acker Student in an Organized Health Care Education/Training Program 3671 Business Dr., Sacramento, CA 95820 2018-06-28
1770022667 Shelly Valdez Behavior Technician 5520 Priscilla Ln, Sacramento, CA 95820 2017-02-13
1285184135 Trang Thu Tran Registered Nurse 5385 Franklin Blvd Ste A-d, Sacramento, CA 95820 2016-10-04
1538542469 Universal Med Express, LLC Non-emergency Medical Transport (VAN) 3230 27th Ave, Sacramento, CA 95820 2015-07-09
1033507470 Moua Yang Case Manager/Care Coordinator 7373 14th Ave, Suite 120-b, Sacramento, CA 95820 2015-01-08
1750790630 Adam Matheny Counselor 7000 Franklin Blvd., Sacramento, CA 95820 2014-08-05
Find all providers in zip 95820

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629676820 Laraine K Koen Student in an Organized Health Care Education/Training Program 123 Brookshire Lane, Sacramento, CA 95820 2020-10-12
1811504533 Joanna Ortega Student in an Organized Health Care Education/Training Program 3956 2nd Ave Unit C, Sacramento, CA 95817-3006 2020-09-27
1922615632 Joshua Bloomstein Student in an Organized Health Care Education/Training Program 4610 X St # 6, Sacramento, CA 95817-2200 2020-09-26
1528674892 Ariela Mascarinas Student in an Organized Health Care Education/Training Program 5131 Andrea Blvd Apt 27, Sacramento, CA 95842-2512 2020-09-21
1346855103 Quintin Kuse Student in an Organized Health Care Education/Training Program 4610 X Street, Sacramento, Sacramento, CA 95817 2020-09-09
1053921569 Asha Rachel Ellman-kassing Student in an Organized Health Care Education/Training Program 3053 Freeport Blvd # 427, Sacramento, CA 95818-4346 2020-08-10
1972113066 Keely Rodriguez Student in an Organized Health Care Education/Training Program 18 Outer Banks Pl, Sacramento, CA 95835-2469 2020-08-04
1639788425 Duy Nguyen Student in an Organized Health Care Education/Training Program 4101 Innovator Dr Apt 626, Sacramento, CA 95834-3861 2020-07-28
1023626314 Veronica Gabriella Garcia Spandler Student in an Organized Health Care Education/Training Program 1510 16th St Apt 513, Sacramento, CA 95814-6041 2020-07-22
1235755620 Hannah Greeley Student in an Organized Health Care Education/Training Program 4851 Kokomo Dr Apt 7523, Sacramento, CA 95835-1846 2020-06-22
Find all providers in SACRAMENTO

Competitor

Search similar providers

City SACRAMENTO
Zip Code 95820

Improve Information

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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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