Organization Active NPI

Sanclair Corporation

  • Cardiovascular Disease Physician
  • Cathedral City, CA
National Provider Identifier
1003055476
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A60080 Issued in CA
Legal business name
SANCLAIR CORPORATION
Practice address
69115 Ramon Rd
Ste F1512
Cathedral City, CA 92234-9114
Phone
(760) 673-8252
NPI assigned
Feb 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2009

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

Authorized official

Name
Jeffrey C Brackett, M.D.
Title
President
Phone
(760) 673-8252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X A60080 CA Primary

Addresses

Primary practice location

69115 Ramon Rd
Ste F1512
Cathedral City, CA 92234-9114

Mailing address

69115 Ramon Rd
Ste F1512
Cathedral City, CA 92234-9114

National Provider Directory

National Provider Directory

Locations

69115 Ramon Rd
#F1512
Cathedral City, CA 92234
Phone (760) 774-3240

69115 Ramon Rd
Ste F1512
Cathedral City, CA 92234
Phone (760) 673-8252

NPI Registry JSON

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1003055476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69115 RAMON RD",
            "address_2": "STE F1512",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922349114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69115 RAMON RD",
            "address_2": "STE F1512",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922349114",
            "telephone_number": "760-673-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCLAIR CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "BRACKETT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-673-8252",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A60080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cathedral City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.