Sally Hae-Ryun Sartin, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A105915 Issued in CA

Practice address

2048 Rickey Canyon Rd
Rice, WA 99167-9753

Phone

(737) 307-1026

Fax

(855) 844-1029

NPI assigned

Jan 28, 2008

Last updated

Jan 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Assure Health Medical Group PA

  • Internal Medicine Physician
  • Lauderdale Lakes, FL
  • NPI 1285252353
  Medicare reassignment NPD
• Feather River Hospital

  dba Adventist Health Feather River

  • General Acute Care Hospital
  • Paradise, CA
  • NPI 1518940667
  NPD (past)
• Feather River Hospital

  dba Feather River Home Oxygen-Chico

  • Oxygen Equipment & Supplies (DME)
  • Chico, CA
  • NPI 1932583622
  NPD (past)

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1063699494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 897",
            "city": "KETTLE FALLS",
            "state": "WA",
            "postal_code": "991410897",
            "telephone_number": "737-307-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2048 RICKEY CANYON RD",
            "city": "RICE",
            "state": "WA",
            "postal_code": "991679753",
            "telephone_number": "737-307-1026",
            "fax_number": "855-844-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARTIN",
        "first_name": "SALLY",
        "middle_name": "HAE-RYUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "60396757",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A105915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Ellaine Cleveland, RN
• My Instant MD LLC
• Aaron Nathaniel Sartin, M.D.

• Family Medicine Physician in Rice, WA
• Providers in Rice, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.