Provider Demographics
NPI:1467240242
Name:KARMA, TENZIN DEKEONG (RN)
Entity type:Individual
Prefix:
First Name:TENZIN
Middle Name:DEKEONG
Last Name:KARMA
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:TENZIN
Other - Middle Name:DEKEONG
Other - Last Name:SHAKYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:STANTON CORRECTIONAL FACILITY
Mailing Address - Street 2:2450 CLAYBANK RD
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533
Mailing Address - Country:US
Mailing Address - Phone:707-784-4840
Mailing Address - Fax:
Practice Address - Street 1:500 CLAY ST
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-5625
Practice Address - Country:US
Practice Address - Phone:707-784-7150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95382728163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse