JODALIN SIMANGAN MAMAUAG NPI 1164573671

NPI Information

NPI: 1164573671
Provider Name: JODALIN SIMANGAN MAMAUAG
Classification: Driver - 172A00000X
Entity Type: Individual
Address:
2501 NORTHVIEW DR
SACRAMENTO, CA
ZIP 95833
Phone: (916) 359-2174
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Jodalin Simangan Mamauag is a driver in Sacramento, CA. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. Jodalin Simangan Mamauag NPI is 1164573671. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2501 NORTHVIEW DR
SACRAMENTO, CA
ZIP 95833-129
Phone: (916) 359-2174

The enumeration date for this NPI number is 1/13/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	172A00000X	Driver			CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MTN01174F	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	MEDICAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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