JUDY J PENG (NPI# 1487032371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487032371 |
| Entity Type | Individual |
| Full Name | JUDY J PENG |
| Practice Address |
6862 Gloria Dr Sacramento CA 95831-2440 |
| Practice Telephone | 9169292598 |
| Practice Fax Number | 9169705278 |
| Mailing Telephone | 9169292598 |
| Mailing Fax Number | 9169705278 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376G00000X | Nursing Home Administrator | Nursing Service Related Providers | ||
| N | 385H00000X | Respite Care | Respite Care Facility |
| Street Address |
6862 GLORIA DR |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95831-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780056143 | Agelong Home Care, LLC | Assisted Living Facility | 6862 Gloria Dr, Sacramento, CA 95831-2440 | 2015-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063930584 | Oliver Insixiengmay | Behavior Technician | 112 Fountain Oaks Cir Apt 244, Sacramento, CA 95831 | 2017-09-05 |
| 1194240630 | Kevin Christofer Abdelnour | Specialist/Technologist | 6866 Sailboat Way, Sacramento, CA 95831 | 2017-08-05 |
| 1508389958 | Another Choice Anothe Chance | Substance Abuse Rehabilitation Facility | 6715 Goria Drive Rooms 1 & A, Sacramento, CA 95831 | 2017-07-18 |
| 1225568819 | Taylor Shahbazian | Behavior Technician | 6660 Harmon Drive, Sacramento, CA 95831 | 2017-06-15 |
| 1639618572 | Dignity Care Medical Transportation | Nursing Care | 7230 Saouth Land Park Drive, Suite 101, Sacramento, CA 95831 | 2017-02-13 |
| 1417307208 | Cecilia Vasquez | Counselor | 1026 Florin Road, #198, Sacramento, CA 95831 | 2016-06-13 |
| 1750765053 | Sacramento Physicians Medical Group, Inc. | Clinic/Center | 7248 South Land Park Dr, 200, Sacramento, CA 95831 | 2015-07-16 |
| 1346660818 | Bruce Wright | Driver | 7485 Rush River, Suite 710 #186, Sacramento, CA 95831 | 2014-04-23 |
| 1477993376 | Brenda Ho, Dds, Inc. | Clinic/Center | 905 Secret River Drive, Suite E, Sacramento, CA 95831 | 2013-06-25 |
| 1285977686 | Julie Christine Kwong | Physical Therapist | 7077 Rush River Drive, Sacramento, CA 95831 | 2013-04-03 |
| Find all providers in zip 95831 | ||||
| Taxonomy Code | 376G00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nursing Home Administrator |
| An individual, often licensed by the state, who is responsible for the management of a nursing home. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770060352 | Joyce Chimeziem Diala | Nursing Home Administrator | 4295 Amapola Way, Sacramento, CA 95823-5049 | 2018-07-25 |
| 1962900852 | Chris Faamausili | Nursing Home Administrator | 5205 Argo Way, Sacramento, CA 95820-5737 | 2018-01-25 |
| 1053838656 | Ermelinda Martinez Siebenthal | Nursing Home Administrator | 7948 Hunts Run Way, Sacramento, CA 95828-5473 | 2017-08-24 |
| 1336661990 | Araceli Cantiller | Nursing Home Administrator | 8006 Bucks Harbor, Sacramento, CA 95828 | 2017-07-14 |
| 1194266775 | Christine Torres | Nursing Home Administrator | 228 Grace Ave, Sacramento, CA 95838-2037 | 2017-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760210 | Vanessa Nunez | Nursing Home Administrator | 1697 Donax Ave, San Diego, CA 92154-1004 | 2020-11-08 |
| 1225637622 | Elizabeth Memoracion | Nursing Home Administrator | 2140 Ceres Ave, Chico, CA 95926-1403 | 2020-10-19 |
| 1659903037 | Noelia Garcia | Nursing Home Administrator | 2755 Thacker Dr, Corona, CA 92881-3634 | 2020-02-04 |
| 1164054557 | Romulo L Garcia | Nursing Home Administrator | 1540 Heartland Way, Corona, CA 92881-4179 | 2020-02-04 |
| 1902436058 | Musarrat Khan | Nursing Home Administrator | 14736 Willow Grove Pl, Moreno Valley, CA 92555-5746 | 2020-01-16 |
| 1295378818 | Yaninee Asawadilokchai | Nursing Home Administrator | 8191 Lambert Dr, Huntington Beach, CA 92647-4816 | 2019-10-27 |
| 1043861313 | Mary Grace P Trias | Nursing Home Administrator | 31485 Mandy Ct, Lake Elsinore, CA 92530-5124 | 2019-09-26 |
| 1982250635 | Lilibeth Mesa | Nursing Home Administrator | 8890 Harlow Ct, Elk Grove, CA 95624-3225 | 2019-08-16 |
| 1295380467 | Riverside Elite Advantage Care Home LLC | Nursing Home Administrator | 17085 Birch Hill Rd, Riverside, CA 92504-8823 | 2019-08-05 |
| 1275194284 | Kathy J Maghbouleh | Nursing Home Administrator | 26545 Avenida Deseo, Mission Viejo, CA 92691-3303 | 2019-06-21 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95831 |
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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.