Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

POONAM KANG
NPI 1700782653
Nurse Practitioner - Psychiatric/Mental Health in Rancho Cordova, CA

Active since October 16, 2026
4071 RAVISA WAY, RANCHO CORDOVA, CA 95742(530) 523-3613 Get Directions Write a Review

NPPES record added: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Poonam Kang NPPES

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

POONAM KANG (NPI 1700782653) is an individual psychiatric/mental health provider in Rancho Cordova, California, licensed in California (95119596) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1700782653
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NamePOONAM KANG
Location Address4071 RAVISA WAYRancho Cordova, CA 95742-8240
Mailing Address4071 Ravisa WayRancho Cordova, CA 95742-8240 · (530) 523-3613
Sole ProprietorYes
Enumeration DateOctober 16, 2026
NPPES CertifiedOctober 16, 2026
✔ NPI 1700782653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95119596
4071 RAVISA WAY, Rancho Cordova, CA 95742

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 Poonam Kang's NPI number?

The NPI number for Poonam Kang is 1700782653. It was assigned to this individual provider in the NPPES registry on October 16, 2026.

Where is Poonam Kang located?

Poonam Kang practices at 4071 Ravisa Way, Rancho Cordova, CA 95742. The listed phone number is (530) 523-3613.

What is Poonam Kang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Poonam Kang was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.