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KANG PHA
NPI 1194448688
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since September 21, 2022
401 S ST, SACRAMENTO, CA 95811(916) 584-7800 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kang Pha NPPES

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

KANG PHA (NPI 1194448688) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since September 2022. She maintains a secondary practice location in Sacramento.

NPPES Registry Identity

NPI1194448688
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKANG PHA
Location Address401 S STSacramento, CA 95811-6919
Mailing Address5924 Silver Shadow CirSacramento, CA 95823-6936 · (916) 548-1401
Phone(916) 584-7800
Sole ProprietorNo
Enumeration DateSeptember 21, 2022
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1194448688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
Also ListedBehavior TechnicianTaxonomy 106S00000X
Also ListedRehabilitation PractitionerTaxonomy 225400000X
401 S ST, Sacramento, CA 95811
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Secondary Practice Location 1

Location 17273 14th Ave Ste 120BSacramento, CA 95820-3500 · Phone (916) 383-6783

Other Providers at the Same Location NPPES 20

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

MAYRA SEGURA VILLA
Community Health Worker
401 S ST
SACRAMENTO, CA 95811
Sacramento County (916) 584-7800
ANNELISE C AFFONSO
Community Health Worker
401 S ST
SACRAMENTO, CA 95811
Sacramento County (916) 584-7800
ANDREA R VARNER
Counselor
401 S ST
SACRAMENTO, CA 95811
Sacramento County (916) 584-7800
EVETTE LORRAINE YBARRA LCSW
Social Worker
401 S ST
SACRAMENTO, CA 95811
Sacramento County (916) 584-7800
KAILAH BICKLE-MEKATARIAN
Adult Companion
401 S ST
SACRAMENTO, CA 95811
Sacramento County (916) 584-7800
GALYNA TOFAN
Adult Companion
401 S ST
SACRAMENTO, CA 95811
Sacramento County (916) 584-7800
LORIN NICOLE WELCH RADT I
Day Training/Habilitation Specialist
401 S ST
SACRAMENTO, CA 95811
Sacramento County (916) 584-7800
DULCE GOODE
Student in an Organized Health Care Education/Training Program
401 S ST
SACRAMENTO, CA 95811
Sacramento County (209) 712-9416

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 Kang Pha's NPI number?

The NPI number for Kang Pha is 1194448688. It was assigned to this individual provider in the NPPES registry on September 21, 2022.

Where is Kang Pha located?

Kang Pha practices at 401 S St, Sacramento, CA 95811. The listed phone number is (916) 584-7800.

What is Kang Pha's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kang Pha was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.