Tungsten Health Sacramento, LLC

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

TUNGSTEN HEALTH SACRAMENTO, LLC

Practice address

855 Howe Ave
Sacramento, CA 95825-3912

Phone

(916) 504-4040

NPI assigned

Oct 7, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matthew Bennett

Title

Ceo

Phone

(860) 380-0937

Specialties & licenses 1

Addresses

Other names 1

• Habitat Health Sacramento, LLC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1013736149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 HOWE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 HOWE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253912",
            "telephone_number": "916-504-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUNGSTEN HEALTH SACRAMENTO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "860-380-0937"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Habitat Health Sacramento, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Habitat Health Sacramento, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Tune, LCSW
• Marianna Tung
• Prabhas Tung, M.D.
• Tan C Tung, FNP
• Vanessa Sina Tung
• Jordyn Tunison
• Cierra Tunquist
• Jesus Rhaymann Lagman Tupaz, REGISTERED NURSE
• Beverley Tupou
• Emily Bird Schmidt Tupper, LCSW

• PACE Provider Organization in Sacramento, CA
• Providers in Sacramento, CA by specialty
• PACE Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.