Individual provider Active NPI

Sarah Rice Sandlin Stender, M.D.

  • Pediatrics Physician
  • Fresno, CA
National Provider Identifier
1083671580
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G143674 Issued in CA
Practice address
7060 N Recreation Ave Ste 101
Fresno, CA 93720-8022
Phone
(559) 325-5656
Fax
(559) 325-5568
NPI assigned
Apr 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G143674 CA Primary
Pediatric Adolescent Medicine Physician 2080A0000X G143674 CA
Pediatric Endocrinology Physician 2080P0205X G143674 CA

Addresses

Primary practice location

7060 N Recreation Ave Ste 101
Fresno, CA 93720-8022

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431

Other identifiers 3

IdentifierTypeStateIssuer
1144011MedicaidLA
3870167MedicaidTN
MD.203426OtherLASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20160727003019 CA Practitioner - Pediatric MedicinePractitioner - Other (Physician) 1355317447 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G143674CAMDPediatric Endocrinology Physician
13014TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince Jul 14, 2016 Accepting new patients
Community Foundation Medical Group CurrentSince Jul 14, 2016 Accepting new patients
Children'S Hospital Pediatrics Past Accepting new patients

Locations

290 N Wayte Ln
Fresno, CA 93701
Phone (559) 459-4101

7060 N Recreation Ave
Ste 101
Fresno, CA 93720
Phone (559) 299-9105

2625 E Divisadero St
Fresno, CA 93721
Phone (559) 453-5200

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467936000000",
    "number": "1083671580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 E DIVISADERO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7060 N RECREATION AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208022",
            "telephone_number": "559-325-5656",
            "fax_number": "559-325-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENDER",
        "first_name": "SARAH RICE",
        "middle_name": "SANDLIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2016-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G143674",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "G143674",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "CA",
            "license": "G143674",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144011",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3870167",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD.203426",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.