NPIMap

Organization Active NPI

Sequoia Healthcare Alliance

  • Family Medicine Physician
  • Porterville, CA
National Provider Identifier
1194371849
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SEQUOIA HEALTHCARE ALLIANCE
Practice address
585 W Putnam Ave
Porterville, CA 93257-3270
Phone
(559) 781-1665
Fax
(559) 781-6036
NPI assigned
Aug 16, 2019
Last updated
Mar 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Authorized official

Name
John Angell
Title
Cfo
Phone
(302) 388-1588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

585 W Putnam Ave
Porterville, CA 93257-3270

Mailing address

590 W Putnam Ave Ste 11
Porterville, CA 93257-3257
Phone (559) 781-4100

Other practice location 1

590 W Putnam Ave Ste 9
Porterville, CA 93257-3257
Phone (559) 784-5735

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210215000309 CA Part B Supplier - Clinic/Group Practice 7911319645 Receives reassigned benefits from 15 practitioners
Practice locations: Porterville, CA

National Provider Directory

National Provider Directory

Locations

560 W Putnam Ave
Porterville, CA 93257
Phone (559) 781-1665

590 W Putnam Ave
Ste 9
Porterville, CA 93257
Phone (559) 784-5337

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1194371849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 W PUTNAM AVE STE 11",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573257",
            "telephone_number": "559-781-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573270",
            "telephone_number": "559-781-1665",
            "fax_number": "559-781-6036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 W Putnam Ave Ste 9",
            "address_purpose": "LOCATION",
            "city": "Porterville",
            "state": "CA",
            "postal_code": "932573257",
            "country_code": "US",
            "telephone_number": "559-784-5735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SEQUOIA HEALTHCARE ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "ANGELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "302-388-1588"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.