Pam Jean Mamoulelis, RNBS

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

233941 Issued in CA

Practice address

11533 C Ave
Auburn, CA 95603-2703

Phone

(530) 889-7240

Fax

(530) 889-7293

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Placer County Asoc

  • Marriage & Family Therapist
  • Auburn, CA
  • NPI 1043344765
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437282654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11533 C AVE",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032703",
            "telephone_number": "530-889-7240",
            "fax_number": "530-889-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11533 C AVE",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032703",
            "telephone_number": "530-889-7240",
            "fax_number": "530-889-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMOULELIS",
        "first_name": "PAM",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "RNBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "233941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Evette Magana
• Craig Maher
• Michael S Mahoney, MD
• Jocelyn Nolasco Malig
• Sharon Rachel Mallory
• Tammy Manning
• Peter Michael Mantsch Jr., PHARMD
• Samantha Monique Manzano, FNP
• Eva Manzer, LMFT
• Charity Dawn Mapa- Hendrickson

• Registered Nurse in Auburn, CA
• Providers in Auburn, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.