David Alan Sine, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A54357 Issued in CA

Practice address

216 E Pine St
Exeter, CA 93221-1750

Phone

(559) 592-2600

Fax

(559) 592-2610

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: dsine17752@valleychildrens-prd.direct-ci.com

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1124187018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 HIGH SIERRA DR",
            "city": "EXETER",
            "state": "CA",
            "postal_code": "932219502",
            "telephone_number": "559-592-2600",
            "fax_number": "559-592-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E PINE ST",
            "city": "EXETER",
            "state": "CA",
            "postal_code": "932211750",
            "telephone_number": "559-592-2600",
            "fax_number": "559-592-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINE",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A54357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A543570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sequoia Radiology Group, Inc.
• Sequoia Youth Services
• Veronica Serrano Valencia, ASW
• Shyam Bhaskar, MD Inc
• Maria Ximena Simonuvic, MD
• Kealani Kanehe Sine, M.D.
• Ryan Lee Smith, FNP
• Brittani Snyder, FNP
• Joseph Sosa, AS
• Pamela E Soto Gonzalez, LPCC

• Pediatrics Physician in Exeter, CA
• Providers in Exeter, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.