Sagar Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

23003882 Issued in CA

Legal business name

SAGAR INC.

Doing business as

La Mariposa

Practice address

1244 Travis Blvd
Fairfield, CA 94533-4802

Phone

(707) 422-7750

Fax

(707) 422-7452

NPI assigned

Jul 26, 2006

Last updated

Mar 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Prema Thekkek

Title

Vice President

Phone

(707) 422-7750

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LA MARIPOSA Doing business as

Locations

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1235152679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 TRAVIS BLVD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334802",
            "telephone_number": "707-422-7750",
            "fax_number": "707-422-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 TRAVIS BLVD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334802",
            "telephone_number": "707-422-7750",
            "fax_number": "707-422-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGAR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "THEKKEK",
        "authorized_official_first_name": "PREMA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "707-422-7750"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "23003882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06086G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LA MARIPOSA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.

Verify at the official NPI Registry.