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PHOUTHOVONG SOUTHIYANON
NPI 1174740922
Case Manager/Care Coordinator in Sacramento, CA

Active since April 20, 2007
601 NORTH MARKET BLVD, STE 100 NORTHGATE POINT RST, SACRAMENTO, CA 95834(916) 567-4222(916) 567-4220 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phouthovong Southiyanon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOUTHOVONG SOUTHIYANON (NPI 1174740922) is an individual case manager/care coordinator provider in Sacramento, California and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1174740922
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NamePHOUTHOVONG SOUTHIYANON
Location Address601 NORTH MARKET BLVD, STE 100 NORTHGATE POINT RSTSacramento, CA 95834
Mailing Address601 North Market Blvd, Ste 100Sacramento, CA 95834 · (916) 567-4222 · Fax (916) 567-4220
Phone(916) 567-4222
Fax(916) 567-4220
Sole ProprietorNo
Enumeration DateApril 20, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1174740922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
601 NORTH MARKET BLVD, Sacramento, CA 95834
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SERGIO LOPEZ
Case Manager/Care Coordinator
601 NORTH MARKET BLVD, STE 100
SACRAMENTO, CA 95834
Sacramento County (916) 567-4222
MR. CARVIN EVANS AYERS
Case Manager/Care Coordinator
601 NORTH MARKET BLVD, SUITE 100
SACRAMENTO, CA 95834
Sacramento County (916) 567-4222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phouthovong Southiyanon's NPI number?

The NPI number for Phouthovong Southiyanon is 1174740922. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Phouthovong Southiyanon located?

Phouthovong Southiyanon practices at 601 North Market Blvd Ste 100 Northgate Point Rst, Sacramento, CA 95834. The listed phone number is (916) 567-4222.

What is Phouthovong Southiyanon's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Phouthovong Southiyanon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.