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SIDAVANH RENA CHAYANAM
NPI 1548101702
Student in an Organized Health Care Education/Training Program in El Dorado Hills, CA

Active since April 02, 2026
1200 LOMOND DR, EL DORADO HILLS, CA 95762(503) 929-3057 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sidavanh Rena Chayanam NPPES

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

SIDAVANH RENA CHAYANAM (NPI 1548101702) is an individual student in an organized health care education/training program in El Dorado Hills, California, licensed in California (95059659) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1548101702
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSIDAVANH RENA CHAYANAM
Location Address1200 LOMOND DREl Dorado Hills, CA 95762-5679
Mailing Address1200 Lomond DrEl Dorado Hills, CA 95762-5679 · (503) 929-3057
Phone(503) 929-3057
Sole ProprietorNo
Enumeration DateApril 2, 2026
NPPES CertifiedApril 2, 2026
✔ NPI 1548101702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CA · 95059659
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.
1200 LOMOND DR, El Dorado Hills, CA 95762
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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 Sidavanh Chayanam's NPI number?

The NPI number for Sidavanh Chayanam is 1548101702. It was assigned to this individual provider in the NPPES registry on April 2, 2026.

Where is Sidavanh Chayanam located?

Sidavanh Chayanam practices at 1200 Lomond Dr, El Dorado Hills, CA 95762. The listed phone number is (503) 929-3057.

What is Sidavanh Chayanam'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 Sidavanh Chayanam was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.