TRI-DUNG G HOANG MD INCORPORATED (NPI# 1851718175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851718175 |
| Entity Type | Organization |
| Organization Name | TRI-DUNG G HOANG MD INCORPORATED |
| Other Organization Name | HOANG MEDICAL CLINIC |
| Practice Address |
6540 Stockton Blvd Suite 3a Sacramento CA 95823-1635 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 9163910170 |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |
| Authorized Official Name | KENNY HEINE (VP OF OPERATIONS) |
| Authorized Official Telephone | 8589641506 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 79685 | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| Hoang Medical Clinic | Doing Business As Name - Organization |
| Street Address |
6540 STOCKTON BLVD SUITE 3A |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823-1635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083647820 | Richard Thanh Ngo | Chiropractor | 6540 Stockton Blvd, Suite 3-a, Sacramento, CA 95823-1635 | 2006-07-07 |
| 1902396252 | Sacrx Corporation | Pharmacy | 6540 Stockton Blvd, #3b, Sacramento, CA 95823-1635 | 2018-05-12 |
| 1699985473 | Hung G. Hoang, M.d., Inc. | Family Medicine | 6540 Stockton Blvd, Suite 3-a, Sacramento, CA 95823-1635 | 2007-05-23 |
| 1487665063 | Phieu Lam | Pharmacy | 6540 Stockton Blvd, Ste 3b, Sacramento, CA 95823-1635 | 2006-08-10 |
| 1952336687 | Hien Trung Pham | Chiropractor | 6540 Stockton Blvd, Ste 2, Sacramento, CA 95823-1635 | 2006-07-11 |
| 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 | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982088365 | Center for Interventional Spine, A Medical Corporation | Non-Pharmacy Dispensing Site | 1817 Professional Drive, Sacramento, CA 95825 | 2015-07-15 |
| 1336527597 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 3234 Marysville Blvd, Sacramento, CA 95815-1411 | 2015-05-08 |
| 1699153858 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 6339 Mack Rd, Sacramento, CA 95823-4655 | 2015-05-08 |
| 1881072049 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 3946 Norwood Ave, Sacramento, CA 95838-3300 | 2015-05-08 |
| 1043612732 | Alok Krishna Md | Non-Pharmacy Dispensing Site | 87 Scripps Dr, Suite 210, Sacramento, CA 95825-6372 | 2014-09-24 |
| 1578965315 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 7215 55th St, Sacramento, CA 95823-2601 | 2014-09-24 |
| 1295145670 | Dawei Zheng Md A Professional Medical Corp | Non-Pharmacy Dispensing Site | 8701 Center Pkwy, Suite 170, Sacramento, CA 95823-7918 | 2014-05-06 |
| 1962823781 | Associated Family Physicians Inc | Non-Pharmacy Dispensing Site | 8110 Timberlake Way, Sacramento, CA 95823-5401 | 2013-12-20 |
| 1356516108 | Mercy Medical Group, Inc. | Non-Pharmacy Dispensing Site | 3160 Folsom Blvd, 1st Flr, Sacramento, CA 95816-5219 | 2008-04-23 |
| 1679788020 | Molina Healthcare of California | Non-Pharmacy Dispensing Site | Molina Medical Centers - Smo, 7215 55th Street, Sacramento, CA 95823-2601 | 2007-05-11 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
Please comment or provide details below to improve the information on TRI-DUNG G HOANG MD INCORPORATED.
| 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.