KENNETH DEAN SANDERS (NPI# 1871039081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871039081 |
| Entity Type | Individual |
| Full Name | KENNETH DEAN SANDERS |
| Credential | CADC CAS |
| Practice Address |
3107 E Kaweah Ave Visalia CA 93292-3309 |
| Practice Telephone | 5597542705 |
| Practice Fax Number | 5597542708 |
| Mailing Telephone | 5597542705 |
| Mailing Fax Number | 5597542708 |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | C29611214 | CA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CCAPP | C29611214 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972614550 | Kenneth Ira Sanders | Chiropractor | 7365 Carnelian St Ste 134, Rancho Cucamonga, CA 91730-1100 | 2006-08-31 |
| 1427080043 | Kenneth Wayne Sanders | Otolaryngology | 8711 Line Ave, Shreveport, LA 71106-6813 | 2006-07-06 |
| 1265845309 | Kenneth Sanders IIi | Pharmacist | 1031 Armory Dr, Franklin, VA 23851-1851 | 2014-06-06 |
| 1730267550 | Kenneth C. Sanders | Emergency Medicine | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| 1033137369 | Kenneth D Sanders | Anesthesiology | 619 19th Street South, Birmingham, AL 35233 | 2006-07-17 |
| 1578502696 | Kenneth Michael Sanders | Physician Assistant | 923 E Central Ave, La Follette, TN 37766-2768 | 2006-06-05 |
| 1275501777 | Kenneth Sanders | Orthopaedic Surgery | 100 Spalding Dr, 3rd Floor, Naperville, IL 60540-6550 | 2006-03-09 |
| 1023018405 | Kenneth L. Sanders | Physician Assistant | 5201 Harry Hines Blvd, Medical Staff Services, Dallas, TX 75235-7708 | 2005-07-27 |
| Street Address |
3107 E KAWEAH AVE |
| City | VISALIA |
| State | CA |
| Zip Code | 93292-3309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316308471 | Jeffery White | Counselor | 3107 E Kaweah Ave, Visalia, CA 93292-3309 | 2016-03-16 |
| 1689273260 | Blain Arden Babb Sr. | Counselor | 3107 E Kaweah Ave, Visalia, CA 93292-3309 | 2020-10-23 |
| 1003454026 | Donaciano Nunez | Counselor | 3107 E Kaweah Ave, Visalia, CA 93292-3309 | 2019-12-20 |
| 1801456264 | Tommy Juarez | Counselor | 3107 E Kaweah Ave, Visalia, CA 93292-3309 | 2019-06-18 |
| 1558827816 | Richard Steven Redmon Jr. | Counselor | 3107 E Kaweah Ave, Visalia, CA 93292-3309 | 2019-02-12 |
| 1861968224 | Rodney Lemmons | Counselor | 3107 E Kaweah Ave, Visalia, CA 93292-3309 | 2018-10-23 |
| 1730655135 | Steve Robert Hover | Counselor | 3107 E Kaweah Ave, Visalia, CA 93292-3309 | 2018-10-23 |
| 1235622648 | Robert Debruin | Counselor | 3107 E Kaweah Ave, Visalia, CA 93292-3309 | 2018-06-11 |
| 1174023154 | Mauricio Neri Ortiz | Counselor | 3107 E Kaweah Ave, Visalia, CA 93292-3309 | 2018-02-16 |
| 1386179687 | Alfonso Gutierrez Jr. | Substance Abuse Rehabilitation Facility | 3107 E Kaweah Ave, Visalia, CA 93292-3309 | 2017-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578191565 | Deborah Mcgee Millner | Marriage & Family Therapist | 520 E. Tulare Avenue, Visalia, CA 93292 | 2020-03-27 |
| 1699316174 | Comfy Medical Transportation | Non-emergency Medical Transport (VAN) | 2321 S Cain Ct, Visalia, CA 93292 | 2019-10-04 |
| 1730671363 | Denise Giroux | Dietitian, Registered | 3316 E Birch Ct, Visalia, CA 93292 | 2018-05-30 |
| 1598262180 | Emily Marie Delgado | Case Manager/Care Coordinator | 3923 E Vassar Ct, Visalia, CA 93292 | 2018-04-10 |
| 1679076509 | Courtney Anne Penebaker | Counselor | 1425 East Walnut, Visalia, CA 93292 | 2018-03-16 |
| 1568999688 | Shu-jen Lee Shaw | Case Manager/Care Coordinator | 520 E. Tulare Ave., Visalia, CA 93292 | 2017-05-19 |
| 1225585771 | Federico Ramirez | Case Manager/Care Coordinator | 543 E Tulare Ave, Visalia, CA 93292 | 2016-09-01 |
| 1558762369 | John Brickley Kelleher | Pharmacist | 616 E Buena Vista Ave, Visalia, CA 93292 | 2014-09-11 |
| 1609285618 | Rosemary Carrasco Leon | Obstetrics & Gynecology | 32665 Ray Court Street, Visalia, CA 93292 | 2014-08-05 |
| 1407118219 | Geethanjali Suratkal Pandey | Pharmacist | 2733 E Connelly Ave, Visalia, CA 93292 | 2012-06-08 |
| Find all providers in zip 93292 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891155065 | Central Valley Recovery Services, Inc. | Substance Abuse Rehabilitation Facility | 212 N Stevenson St, Visalia, CA 93291-6024 | 2016-03-02 |
| 1619335239 | Central Valley Recovery Services, Inc. | Substance Abuse Rehabilitation Facility | 1425 E Walnut Ave, Visalia, CA 93292-1415 | 2016-02-10 |
| 1316247455 | Recovery Resources | Substance Abuse Rehabilitation Facility | 4040 South Demaree, Suite A, Visalia, CA 93277 | 2010-10-22 |
| 1043346067 | Central Valley Recovery Services, Inc.. | Substance Abuse Rehabilitation Facility | 320 W Oak Ave, Visalia, CA 93291-4929 | 2007-02-26 |
| 1760413215 | Tulare County Alcoholism Council, Inc. | Substance Abuse Rehabilitation Facility | 705 S Court St, Visalia, CA 93277-2727 | 2006-07-05 |
| 1386179687 | Alfonso Gutierrez Jr. | Substance Abuse Rehabilitation Facility | 3107 E Kaweah Ave, Visalia, CA 93292-3309 | 2017-04-24 |
| 1568816148 | Central Valley Recovery Services, Inc. | Substance Abuse Rehabilitation Facility | 3107 E Kaweah Ave, Visalia, CA 93292-3309 | 2016-04-20 |
| 1639533862 | Turning Point of Central California, Inc. | Substance Abuse Rehabilitation Facility | 1845 S Court St, Visalia, CA 93277-5423 | 2016-04-13 |
| 1801256078 | Central Valley Recovery Services, Inc. | Substance Abuse Rehabilitation Facility | 120 W School Ave, Visalia, CA 93291-4925 | 2016-03-02 |
| 1346620374 | Centraol Valley Recovery Services, Inc. | Substance Abuse Rehabilitation Facility | 705 S Court St, Visalia, CA 93277-2727 | 2015-06-04 |
| Find all providers in VISALIA | ||||
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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.