MR. TYLER WILLIAM PEHLKE (NPI# 1932417474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932417474 |
| Entity Type | Individual |
| Full Name | MR. TYLER WILLIAM PEHLKE |
| Practice Address |
1400 N A St Building A Sacramento CA 95811-0612 |
| Mailing Address |
871 Woodside Ln E #2 Sacramento CA 95825-4345 |
| Practice Telephone | 9164401500 |
| Mailing Telephone | 5304009697 |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2010-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1400 N A ST BUILDING A |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95811-0612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174770457 | Wanda F. Willis | Nurse Practitioner | 1400 N A St, Sacramento, CA 95811-0612 | 2008-08-19 |
| 1467735969 | Leah Barros | Student in an Organized Health Care Education/Training Program | 1400 N A St, Building A, Sacramento, CA 95811-0612 | 2011-09-21 |
| 1912220740 | Swami Hariharananda | Counselor | 1400 N A St, Bldg. A, Sacramento, CA 95811-0612 | 2010-03-08 |
| 1164755906 | Patricia L Gonzalez | Counselor | 1400 N A St, Sacramento, CA 95811-0612 | 2009-09-11 |
| 1750511390 | Pamela Gail Catts | Case Manager/Care Coordinator | 1400 N A St, Sacramento, CA 95811-0612 | 2009-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891190 | Teresa Sy | Behavior Technician | 610 Bercut Dr. Suite B, Sacramento, CA 95811 | 2018-12-03 |
| 1669948212 | Micaela Badue | Counselor | 401 S St., Sacramento, CA 95811 | 2018-10-22 |
| 1669956801 | Andrea Martinez | Counselor | 600 Bercut Dr., Sacramento, CA 95811 | 2018-09-24 |
| 1174000855 | Clinicians Connect Care Home Health & Hospice Services | Home Health | 716 19th Street, Suite 200, Sacramento, CA 95811 | 2018-07-25 |
| 1992202345 | Benjamin James Leibold | Behavior Technician | 610 Bercut Drive, Suite B, Sacramento, CA 95811 | 2018-04-11 |
| 1669979233 | Aja Jones | Counselor | 401 S Street, Sacramento, CA 95811 | 2018-04-10 |
| 1821511916 | Lucas John Monaco | Counselor | 1400 North 'a' Street, Bldg A, Sacramento, CA 95811 | 2017-07-20 |
| 1275089963 | Sergio Vicuna, D.d.s., Inc | Dentist | 1804 19th St, Suite 100, Sacramento, CA 95811 | 2016-09-01 |
| 1386057495 | Chelsea Turner | Counselor | 600 Bercut Drive, Sacramento, CA 95811 | 2014-06-05 |
| 1427473636 | Sidney Caldwell | Counselor | 401 S Street Sacramento, Sacramento, CA 95811 | 2014-02-25 |
| Find all providers in zip 95811 | ||||
| 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 | 95811 |
Please comment or provide details below to improve the information on MR. TYLER WILLIAM PEHLKE.
| 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.