Active NPI
Yuk Fong Wong-Tamblyn, MSW
- Social Worker
- Sacramento, CA
National Provider Identifier
1164530614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCS 25482
- Practice address
- 811 Grand Ave Ste D
Sacramento, CA 95838-3466 - Phone
- (916) 922-9868
- Fax
- (916) 922-7342
- NPI assigned
- Aug 25, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LCS 25482 | CA | Primary |
Addresses
Primary practice location
811 Grand Ave Ste D
Sacramento, CA 95838-3466
Mailing address
3450 Grant Park Drive
Carmichael, CA 95608
Phone (916) 922-9868
Other names 1
- Echo Tamblyn
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 25482 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370822400000",
"number": "1164530614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 GRANT PARK DRIVE",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "95608",
"telephone_number": "916-922-9868",
"fax_number": "916-922-7342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 GRAND AVE STE D",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958383466",
"telephone_number": "916-922-9868",
"fax_number": "916-922-7342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG-TAMBLYN",
"first_name": "YUK",
"middle_name": "FONG",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2013-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "LCS 25482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ECHO",
"last_name": "TAMBLYN",
"code": "5",
"type": "Other Name"
}
]
}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 Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.