MARIA KANG (NPI# 1700320355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700320355 |
| Entity Type | Individual |
| Full Name | MARIA KANG |
| Credential | RCFE ADMIN |
| Practice Address |
9823 Gavirate Way Elk Grove CA 95757-3035 |
| Practice Telephone | 9168331493 |
| Mailing Telephone | 9168331493 |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2016-12-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 347004639 | CA | Nursing & Custodial Care Facilities |
| N | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
347004639 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CCLD RCFE | 347004639 | 01 |
| Street Address |
9823 GAVIRATE WAY |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95757-3035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896600 | Cassandra Jan Cassas I | Behavior Technician | 9832 Tundra Swan, Elk Grove, CA 95757 | 2019-11-22 |
| 1386287027 | Winslow Dds Inc. | Clinic/Center | 10043 Bruceville Road, Unit 160, Elk Grove, CA 95757 | 2019-10-25 |
| 1386206696 | Daniel & Max, LLC | Optometrist | 7150 Elk Grove Blvd, Elk Grove, CA 95757 | 2019-07-08 |
| 1033684865 | Lua Davidson | Behavioral Analyst | 5504 Aspen Grove Ln, Elk Grove, CA 95757 | 2018-10-08 |
| 1821578386 | Michele Elizabeth Amato | Behavior Technician | 8350 Lotz Parkway, Elk Grove, CA 95757 | 2018-08-15 |
| 1043759632 | Costco Wholesale Corporation | Pharmacy | 7400 Elk Grove Boulevard, Elk Grove, CA 95757 | 2017-02-16 |
| 1497207351 | Ron Dancy | Genetic Counselor, MS | 9864 West Taron Dr, Elk Grove, CA 95757 | 2016-10-26 |
| 1780051524 | Jesselle Pablo | Counselor | 10227 Pedra Do Sol Way, Elk Grove, CA 95757 | 2015-08-27 |
| 1851708945 | Yen Ngoc Hoang | Pharmacist | 8257 Hopewell Drive, Elk Grove, CA 95757 | 2014-07-21 |
| 1477742070 | Nkechi Akudo Nzerem-johnson | Pediatrics | Dignity Health Medical Plaza, 8220 Wymark Drive Suite 200, Elk Grove, CA 95757 | 2007-10-18 |
| Find all providers in zip 95757 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114567716 | Diamond Oak Senior Living Inc | Assisted Living Facility | 8636 Diamond Oak Way, Elk Grove, CA 95624-1755 | 2020-01-10 |
| 1053877100 | Lucia Claudia Boboc | Assisted Living Facility | 8410 Terracotta Cir, Elk Grove, CA 95624-4141 | 2019-02-13 |
| 1922517762 | Maryimmaculate Muiruri | Assisted Living Facility | 8892 Monterey Oaks Dr, Elk Grove, CA 95758-6348 | 2017-09-25 |
| 1083134399 | Uchechi Mbonu | Assisted Living Facility | 7019 Mcgill Court, Elk Grove, CA 95758 | 2017-06-27 |
| 1508390725 | Riley-mack, Inc. | Assisted Living Facility | 7223 Ovar Ct, Elk Grove, CA 95757-3460 | 2017-04-13 |
| 1376922013 | Lani Calagui | Assisted Living Facility | 8510 Stoneflower Way, Elk Grove, CA 95624-4517 | 2015-05-27 |
| 1114317542 | Golden Berry Inc. | Assisted Living Facility | 8516 Foxberry Ct, Elk Grove, CA 95624-1244 | 2015-01-22 |
| 1972991404 | Golden Berry Inc. | Assisted Living Facility | 8786 Silverberry Ave, Elk Grove, CA 95624-1226 | 2015-01-06 |
| 1427452036 | Senior Sweet Home | Assisted Living Facility | 9579 Sea Cliff Way, Elk Grove, CA 95758-7130 | 2014-10-11 |
| 1538502513 | Sunrise Guest Home, Inc. | Assisted Living Facility | 8705 Great Ct, Elk Grove, CA 95624-1873 | 2013-04-09 |
| Find all providers in ELK GROVE | ||||
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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.