DR. ANDREW J KACZYNSKI (NPI# 1912927765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912927765 |
| Entity Type | Individual |
| Full Name | DR. ANDREW J KACZYNSKI |
| Credential | M.D. |
| Practice Address |
77 Cadillac Dr Suite 170 Sacramento CA 95825-5453 |
| Practice Telephone | 9169255522 |
| Practice Fax Number | 9169253165 |
| Mailing Telephone | 9169255522 |
| Mailing Fax Number | 9169253165 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
G365760 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
77 CADILLAC DR SUITE 170 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95825-5453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841267234 | Bruce Alan Bob | Obstetrics & Gynecology | 77 Cadillac Dr, Suite 230, Sacramento, CA 95825-5453 | 2006-03-03 |
| 1043758923 | Maria Raquel Kronen | Obstetrics & Gynecology | 77 Cadillac Dr, Sacramento, CA 95825-5453 | 2017-02-10 |
| 1962878033 | Friz J Diaz, Dds, Inc. | Dentist | 77 Cadillac Dr, Suite 165, Sacramento, CA 95825-5453 | 2015-08-12 |
| 1497130660 | Nivano Ambulatory Surgery Center, Lp | Clinic/Center | 77 Cadillac Dr, Suite 130, Sacramento, CA 95825-5453 | 2015-07-29 |
| 1245668300 | Radiological Associates of Sacramento Medical Group, Inc. | Urology | 77 Cadillac Dr, Suite 130/180, Sacramento, CA 95825-5453 | 2013-10-28 |
| 1356602635 | Lifecenter Sacramento LLC | Clinic/Center | 77 Cadillac Dr, Sacramento, CA 95825-5453 | 2012-06-04 |
| 1194083477 | Nataliya Carlson | Student in an Organized Health Care Education/Training Program | 77 Cadillac Dr, Suite 230, Sacramento, CA 95825-5480 | 2012-04-24 |
| 1992080915 | James Anderson | Nurse Practitioner | 77 Cadillac Dr, Suite Number 210, Sacramento, CA 95825-5453 | 2011-10-21 |
| 1417263070 | Leslie Ann Lyda | Nurse Practitioner | 77 Cadillac Dr, Sacramento, CA 95825-5453 | 2010-08-20 |
| 1598908816 | Susan Kristina Glabe | Physician Assistant | 77 Cadillac Dr, Sacramento, CA 95825-5453 | 2009-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1942810510 | Melissa Marlene Lowndes | Occupational Therapist | 1337 Howe Ave Unit 107, Sacramento, CA 95825 | 2020-08-07 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1154950327 | Hallie Wenz | Behavior Technician | 333 University Ave Suite #200, Sacramento, CA 95825 | 2020-04-08 |
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1710517891 | Amelia Garnica | Community/Behavioral Health | 720 Howe Avenue, Suite 102, Sacamento, CA 95825 | 2020-01-17 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604519 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave., Suite 102, Cacramento, CA 95825 | 2019-11-25 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| Find all providers in zip 95825 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114212693 | Heath Jared Charvet | Surgery | 2335 Stockton Blvd, Naob 6th Floor, Sacramento, CA 95817-1418 | 2011-06-13 |
| 1235314121 | David E Sahar | Surgery | 2221 Stockton Blvd Rm 2125, Sacramento, CA 95817-1418 | 2008-01-09 |
| 1073738365 | Charles Thoms Longo | Surgery | 4250 H St, Suite 3, Sacramento, CA 95819-3441 | 2007-04-13 |
| 1962625251 | Charles W. Perry, M.d., Inc. | Surgery | 3800 J St Ste 200, Sacramento, CA 95816-5551 | 2007-04-11 |
| 1568996056 | Corey Bascone | Surgery | 2315 Stockton Blvd. - Department of Surgery, Naob 6th Floor - Plastics, Sacramento, CA 95817-2201 | 2017-04-12 |
| 1154702892 | Jeffrey A Sweat Md PC | Surgery | 83 Scripps Dr, Suite 130, Sacramento, CA 95825-6319 | 2015-06-17 |
| 1679915565 | Shriners Hospitals for Children | Surgery | 2425 Stockton Blvd, Sacramento, CA 95817-2215 | 2013-07-22 |
| 1225302516 | Dattesh Rajendra Dave | Surgery | 2335 Stockton Blvd, 6th Floor, 6011-3, Sacramento, CA 95817 | 2012-03-03 |
| 1497075980 | Shuhao Zhang | Surgery | 3000 Q St Fl 5, Sacramento, CA 95816-7058 | 2010-06-07 |
| 1891014965 | Rohit Jaiswal | Surgery | 2315 Stockton Blvd Rm 6309, Sacramento, CA 95817-2201 | 2010-05-27 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95825 |
Please comment or provide details below to improve the information on DR. ANDREW J KACZYNSKI.
| 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.