Individual provider Active NPI

Linda Pancho, M.D.

  • Legal Medicine
  • Sacramento, CA
National Provider Identifier
1023136777
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
A40000 Issued in CA
Practice address
1500 Capitol Ave # Ms -2303
Suite 72.420
Sacramento, CA 95814-5006
Phone
(916) 440-7569
Fax
(916) 440-7621
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X A40000 CA Primary

Addresses

Primary practice location

1500 Capitol Ave # Ms -2303
Suite 72.420
Sacramento, CA 95814-5006

Mailing address

PO Box 10796
Oakland, CA 94610-0796
Phone (916) 440-7569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A40000CAMDLegal Medicine

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023136777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10796",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946100796",
            "telephone_number": "916-440-7569",
            "fax_number": "916-440-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CAPITOL AVE # MS -2303",
            "address_2": "SUITE 72.420",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958145006",
            "telephone_number": "916-440-7569",
            "fax_number": "916-440-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCHO",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "A40000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • 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.