MICHAEL PHATCHAMPHONE (NPI# 1396216644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396216644 |
| Entity Type | Individual |
| Full Name | MICHAEL PHATCHAMPHONE |
| Credential | RCP |
| Practice Address |
6600 Bruceville Rd Sacramento CA 95823-4671 |
| Mailing Address |
8238 Dalkeith Way Antelope CA 95843-5126 |
| Practice Telephone | 9166882000 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2279G1100X |
Respiratory Therapist, Registered Specialization: General Care |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6600 BRUCEVILLE RD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823-4671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548254295 | Lon Jacobus Taff | Obstetrics & Gynecology | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2005-09-08 |
| 1770195232 | Alexi Taylor Spoto | Pharmacist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-08-17 |
| 1134747306 | Poline Chhun Engeman X | Nurse Practitioner | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-07-13 |
| 1659904365 | Regan Watson | Nurse Practitioner | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-02-20 |
| 1740813443 | Caitlin Elizabeth Galvez | Physical Therapist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-02-20 |
| 1750912119 | Maria Monserrat Perez | Registered Nurse | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-02-03 |
| 1699312645 | Kayla Renee Hazel | Speech-Language Pathologist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2019-12-09 |
| 1366087553 | Michelle Schiltz | Registered Nurse | 6600 Bruceville Rd, Sacramento, CA 95823 | 2019-11-12 |
| 1013564145 | Katheirne Anne Lloyd | Dietitian, Registered | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2019-08-22 |
| 1699320077 | Sarah Lackey | Physical Therapist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2019-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343422 | Renee Yvonne Friesner | Registered Nurse | 6965 65th Street, Sacramento, CA 95823 | 2020-10-12 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1114562766 | Daniel & Max, LLC | Optometrist | 4200 Florin Road, Suite C, Florin, CA 95823 | 2019-11-07 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1306316880 | Evin Johnson | Case Manager/Care Coordinator | 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 | 2018-11-28 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1891298923 | Nicholas Joseph Henderson | Behavior Technician | 6500 47th Street Apt#76, Sacramento, CA 95823 | 2018-03-15 |
| 1427567098 | Luz Maria Udave | Behavior Technician | 5435 Mack Rd Apt 87, Sacramento, CA 95823 | 2017-09-26 |
| 1417474743 | Elizabeth Smithers | Behavior Technician | 5545 Sky Parkway #202, Sacramento, CA 95823 | 2017-08-28 |
| Find all providers in zip 95823 | ||||
| Taxonomy Code | 2279G1100X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Respiratory Therapist, Registered |
| Specialization | General Care |
| This level of care includes diagnostics testing, therapeutics, monitoring, rehabilitation of patients with disorders of the cardiopulmonary system, as well as, education of the patient and family in regard to those disorders. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992276877 | Caroline Ann Monceaux | Respiratory Therapist, Registered | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2018-12-17 |
| 1710458690 | Dina Lewis | Respiratory Therapist, Registered | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2018-12-17 |
| 1447721329 | Paul Flanagan Jr. | Respiratory Therapist, Registered | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2018-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
| 1265998777 | Lorraine Veal | Respiratory Therapist, Registered | 300 Pinto Ct, Vallejo, CA 94591-3696 | 2019-02-20 |
| 1871067017 | Erica C Chinchilla | Respiratory Therapist, Registered | 40 Fountainhead Ct, Martinez, CA 94553-4964 | 2019-01-21 |
| 1013488790 | John Charles Yorga | Respiratory Therapist, Registered | 223 Cromwell Ave, Clovis, CA 93611-7046 | 2018-12-06 |
| 1174092878 | Jessica Mcalister | Respiratory Therapist, Registered | 1578 Pacific Ave Apt 6, San Leandro, CA 94577-2567 | 2018-11-26 |
| 1669951562 | Floyd Bailey | Respiratory Therapist, Registered | 8110 Woodman Ave Bldg 5, Panorama City, CA 91402 | 2018-08-10 |
| 1891150967 | Ilda Silva | Respiratory Therapist, Registered | 5213 Sulphur Dr, Mira Loma, CA 91752-2917 | 2015-12-16 |
| 1366842528 | Deborah Kathleen Rothwell | Respiratory Therapist, Registered | 2161 Snowden Ave, Long Beach, CA 90815-3346 | 2014-08-25 |
| 1710396171 | Leticia Rodas | Respiratory Therapist, Registered | 5705 Sepulveda Blvd, Culver City, CA 90230-6406 | 2014-08-10 |
| 1013332162 | Anthony Jacob Syphus | Respiratory Therapist, Registered | 18432 Oak Canyon Rd Apt 626, Santa Clarita, CA 91387 | 2014-02-26 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
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| 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.