MEDICARE: KATHLEEN LUMBANG ASCARRUNZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker
2	372600000X	Adult Companion

General Provider Information

NPI Number	:	1477204196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN LUMBANG ASCARRUNZ

Provider Business Mailing Address
First Line	:	9343 TECH CENTER DR
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95826-2563
Country	:	US
Telephone Number	:	916-379-7964
Fax Number	:

Provider Business Practice Location Address
First Line	:	9343 TECH CENTER DR
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95826-2563
Country	:	US
Telephone Number	:	916-379-7964
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2022
Last Update Date	:	01/15/2026

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