MARIA SARAH SOPHIE BOVENBERG (NPI# 1528590858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528590858 |
| Entity Type | Individual |
| Full Name | MARIA SARAH SOPHIE BOVENBERG |
| Credential | MD, PHD |
| Practice Address |
3301 C St Ste 1300 Sacramento CA 95816-3370 |
| Mailing Address |
3301 C St Ste. 1400 Sacramento, Ca Sacramento CA 95816-3300 |
| Practice Telephone | 9167346111 |
| Mailing Telephone | 9167346111 |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2018-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1740 W Taylor St, Chicago, IL 606127232 | 8666002273 |
| Street Address |
3301 C ST STE 1300 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-3370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932308681 | Peggy Wu | Dermatology | 3301 C St Ste 1300, Sacramento, CA 95816 | 2007-07-13 |
| 1770018236 | Dev Chahal | Student in an Organized Health Care Education/Training Program | 3301 C St Ste 1300, Sacramento, CA 95816 | 2017-04-21 |
| 1699209254 | Benjamin Farahnik | Student in an Organized Health Care Education/Training Program | 3301 C St Ste 1300, Sacramento, CA 95816 | 2017-04-20 |
| 1467983080 | Manisha Notay | Student in an Organized Health Care Education/Training Program | 3301 C St Ste 1300, Sacramento, CA 95816 | 2017-03-24 |
| 1619323755 | Allison Weinkle | Dermatology | 3301 C St Ste 1300, Sacramento, CA 95816-3370 | 2016-05-08 |
| 1063866150 | Kourosh Beroukhim | Dermatology | 3301 C St Ste 1300, Sacramento, CA 95816-3370 | 2016-04-15 |
| 1588050702 | Parastoo Davari | Student in an Organized Health Care Education/Training Program | 3301 C St Ste 1300, Sacramento, CA 95816-3370 | 2015-04-14 |
| 1528453701 | Stephanie Feldstein | Dermatology | 3301 C St Ste 1300, Sacramento, CA 95816 | 2015-04-03 |
| 1184015182 | Allen Markovic | Physician Assistant | 3301 C St Ste 1300, Sacramento, CA 95816-3370 | 2015-02-11 |
| 1326450610 | Farzam Gorouhi | Student in an Organized Health Care Education/Training Program | 3301 C St Ste 1300, Sacramento, CA 95816 | 2014-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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] |
| 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 | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
Please comment or provide details below to improve the information on MARIA SARAH SOPHIE BOVENBERG.
| 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.