Active NPI
Conrad Theodore Seitz, M.D
- Family Medicine Physician
- Sanger, CA
National Provider Identifier
1093820748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G56476
- Practice address
- 2570 Jensen Ave
Suite 106
Sanger, CA 93657-2269 - Phone
- (559) 875-3428
- Fax
- (559) 875-3434
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G56476 | CA | Primary |
Addresses
Primary practice location
2570 Jensen Ave
Suite 106
Sanger, CA 93657-2269
Mailing address
2570 Jensen Ave
Suite 106
Sanger, CA 96357
Phone (559) 875-3428
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
| License | State | Type | Specialty |
|---|---|---|---|
| G56476 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199750400000",
"number": "1093820748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2570 JENSEN AVE",
"address_2": "SUITE 106",
"city": "SANGER",
"state": "CA",
"postal_code": "96357",
"telephone_number": "559-875-3428",
"fax_number": "559-875-3434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2570 JENSEN AVE",
"address_2": "SUITE 106",
"city": "SANGER",
"state": "CA",
"postal_code": "936572269",
"telephone_number": "559-875-3428",
"fax_number": "559-875-3434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEITZ",
"first_name": "CONRAD",
"middle_name": "THEODORE",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2008-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G56476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sanger, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.