Active NPI
Patronella Machavangu
- Rehabilitation Practitioner
- Sacramento, CA
National Provider Identifier
1114525151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 3440 Viking Dr
Sacramento, CA 95827-2844 - Phone
- (916) 262-8598
- NPI assigned
- Oct 12, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary | ||
| Community Health Worker | 172V00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Adult Companion | 372600000X |
Addresses
Primary practice location
3440 Viking Dr
Sacramento, CA 95827-2844
Mailing address
3440 Viking Dr
Sacramento, CA 95827-2844
Phone (916) 262-8598
Other practice location 1
2150 Stockton Blvd
Sacramento, CA 95817-1337
Phone (916) 875-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1114525151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3440 VIKING DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958272844",
"telephone_number": "916-262-8598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3440 VIKING DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958272844",
"telephone_number": "916-262-8598"
}
],
"practiceLocations": [
{
"address_1": "2150 Stockton Blvd",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958171337",
"country_code": "US",
"telephone_number": "916-875-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACHAVANGU",
"first_name": "PATRONELLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-12",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.