IndividualActive
Sidavanh Chayanam
NPI 1548101702 · Student in an Organized Health Care Education/Training Program · El Dorado Hills, CA
Provider details
- NPI number
- 1548101702
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- No
- License
- 95059659 (CA)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense 95059659 (CA)
Student, Health Care
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1200 Lomond Dr
El Dorado Hills, CA 95762-5679
Phone: (503) 929-3057
Street-level locationGet directions
Mailing address
1200 Lomond Dr
El Dorado Hills, CA 95762-5679
Registry dates
- Enumerated
- 2026-04-02
- Last updated
- 2026-04-02
- Certified
- 2026-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.