KENNETH PUGH (NPI# 1518065572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518065572 |
| Entity Type | Individual |
| Full Name | KENNETH PUGH |
| Credential | LPT |
| Practice Address |
2150 Stockton Blvd Sacramento CA 95817-1337 |
| Practice Telephone | 9168751000 |
| Practice Fax Number | 9168751006 |
| Mailing Telephone | 9168751000 |
| Mailing Fax Number | 9168751006 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | PT26022 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477682805 | Kenneth C. Pugh | Audiologist | 1966 Inwood Rd., Dallas, TX 75235 | 2007-03-02 |
| 1164583043 | Kenneth Gregory Pugh | Internal Medicine | 8901 Wisconsin Ave, Department of Medicine, Bethesda, MD 20889-0001 | 2006-12-13 |
| Street Address |
2150 STOCKTON BLVD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336100171 | Richard A Cross | Psychiatry & Neurology | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2006-03-31 |
| 1427657477 | Brandy Russell | Case Manager/Care Coordinator | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-10-21 |
| 1710591250 | Mary Joy Gigaquit Hyatt | Case Manager/Care Coordinator | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-09-02 |
| 1295345478 | Felicia Ann Facio | Case Manager/Care Coordinator | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-08-03 |
| 1982213864 | Simranjot Kaur Sidhu | Registered Nurse | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-07-28 |
| 1881202141 | Ferdinand Garcia | Registered Nurse | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-07-22 |
| 1548885569 | Sara Crosby | Licensed Practical Nurse | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-06-15 |
| 1700409539 | Cortney S Clark | Case Manager/Care Coordinator | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-05-27 |
| 1063032076 | Jazmin Franco | Case Manager/Care Coordinator | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-04-20 |
| 1447889688 | Wilfredo Ranit Escartin Jr. | Registered Nurse | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-04-08 |
| 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 | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245374966 | Kathy Mary Simms | Licensed Psychiatric Technician | 6615 Valley Hi Dr # A, Sacramento, CA 95823-4601 | 2007-02-16 |
| 1609972223 | Sallyann Smith | Licensed Psychiatric Technician | 9337 Heathfield Way, Sacramento, CA 95829-6081 | 2006-09-15 |
| 1811090723 | Elizabeth Ann Hayes | Licensed Psychiatric Technician | 811 Grand Ave Suite D, Sacramento, CA 95822-3466 | 2006-09-06 |
| 1275644718 | Levi Aaron Combs | Licensed Psychiatric Technician | 2045 W El Camino Ave Apt 455, Sacramento, CA 95833-1481 | 2006-08-31 |
| 1558384321 | Joseph Warren Gibbs | Licensed Psychiatric Technician | 8036 Center Pkwy, Sacramento, CA 95823-5243 | 2006-07-25 |
| 1356940159 | Hadia N Khalil | Licensed Psychiatric Technician | 401 S St, Sacramento, CA 95811-6919 | 2020-10-22 |
| 1316557465 | Bintu Sia Sorie | Licensed Psychiatric Technician | 4612 Roosevelt Ave, Sacramento, CA 95820-4520 | 2020-08-04 |
| 1770119893 | Crystal D Washington | Licensed Psychiatric Technician | 1103 N B St Ste E, Sacramento, CA 95811-0326 | 2020-03-20 |
| 1023659182 | Theresa Ann Jordan | Licensed Psychiatric Technician | 6950 65th St, Sacramento, CA 95823-2316 | 2019-09-30 |
| 1396394490 | Princess Jarrell | Licensed Psychiatric Technician | 3815 Marconi Ave, Sacramento, CA 95821-3867 | 2019-09-10 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
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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.